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SE I also wish to receive the <br /> o I e andla► for additional services. following. services If Pn extra 0 <br /> 0- Complete items 3, and 4a&b. that efee), <br /> !1 .y <br /> 0 • <br /> pant your name and address on the verse o t s t fe II, I Li Addressee's Address y <br /> y ;slim Ibis c,8fll fri Pu thN a.lip <br /> t a a <br /> � Attach this form to tine f►unt of a article nu er•' 2, L� Restricted Delivery 0 <br /> m permit. a mailpiece w m <br /> oes not p erect and th date <br /> m n;�l Consult ostmaster for fee. <br /> Write,•Retum4ieceiptRequested"on = <br /> .�+ The Return Receipt will show to whom the umber <br /> rtlGle (� � <br /> T, C delivered- <br /> 0 <br /> �° 3 icle Addressed to: R _ �� a <br /> co Gh. Service Type ❑ insured <br /> Registered <br /> ° GU STONEY CREORAEKI9N Certified ❑ COD m <br /> 9253 5 CA Express Mail Return Receipt for <br /> 952 Merchandise q <br /> STOCKTON "- <br /> iT 7. Date of eGvery c <br /> T <br /> [� !� if requested <br /> d C <br /> rn p } $ Addt se 's Ad gess tiOn4y <br /> -.� "- d} <br /> G. Q ,� and fee is t— <br /> 5 Signature (Addresseel 1 <br /> RETURN RECEIPT <br /> 6. Signature 4A9 352.714 DOM S <br /> 1 December 1991 trU.S.GPO:1993 <br /> 0 pg Form <br />