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.r <br /> { <br /> o SENV1. <br /> 1 <br /> to • Coaddi conal ry also wish to receive the 1 <br /> N Co 4a&b. f i erviC r Gd <br /> So • Print your name and address on the reverse of r that we can I (r �+ t.iJ•v 1 <br /> return this card to you. <br /> tp • Attach this form to the front of the mailpiec k if space 1. ❑ Addressee's Address N <br /> does not permit. <br /> r •'Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery S <br /> • livered. <br /> The Return Receipt will show to whom the article was delivered and the date <br /> o deConsult postmaster for fee. d <br /> -o 3. Article Addressed to: 4a. Article N779�- <br /> W <br /> -�� !9B3 <br /> CL FRED <br /> MPi iERS " <br /> E 4b. Service Type rn <br /> v 1833 ROBIN IN ❑ F gistered El Insured C . <br /> WLODI CA 9.5240 Certified ❑ COD <br /> Q T 1 !; ❑ Express Mail ❑ Return Receipt for o <br /> I Merchandise l <br /> 0 7. Date-of D,glivery tt" 0 <br /> o . <br /> Z Ur <br /> i re (Addressee) 8. Addressee's Adr ss(Only if requested Y <br /> oC <br /> and fee is paid <br /> � 6. ignature (Agent) H <br /> 0 NPS Form 3811, December 1991 *U.S.GPO:t993-352-774TIiCR-2 <br /> RN RECEIPT <br /> a <br /> D-3 6 21(01.111 <br /> MAILSY <br /> Receipt for <br /> Certified Mail - -� <br /> No Insurance Coverage Provided <br /> Dorilotluselforll-riterndtiorf;§I!fail <br /> '(Swe'Reverse) <br /> r3 <br /> 1 -SenttREDRICK.MAYERS , <br /> Street and No. - - - - <br /> 1833 ROBIN IN <br /> P.O.,State and ZIP Code - <br /> LODI CA 95240 <br /> Postage - 1 <br /> $ .32 <br /> Certified Fee <br /> 1.10 <br /> Special Delivery Fee - <br /> Restricted Delivery Fee I <br /> i <br /> P) Return Receipt Showing ,% 1 <br /> O0) to Whom&Date Delivered 1.1U <br /> 11 <br /> L Return Receipt Showing to Whom, ' <br /> Date,and Addressee's Address <br /> TOTAL Postage - .k <br /> i� O &Fees _ t ' <br /> QPostmark or Date <br /> p. <br /> tl t <br /> a� t y <br /> w <br /> i <br />