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.wry <br /> 7 224 36�#'.3a2' <br /> .u8 postal Senr�ce <br /> Recd+mor Certified Mal <br /> MAY-k. • :_ ..�. <br /> MARY _. ... <br /> 1250 r'EDGBW00D_DR <br /> LODI CAf 95240 _ <br /> POSta9e <br /> Certified Fee <br /> special Delivery Fee <br /> Restricted Delivery Fee <br /> M Return Receipt Sh°1"rngt0 <br /> r' Whom&Data Delivered <br /> to whom, <br /> RelumR <br /> pate,&Addressees Address <br /> p TOTAL postage&Fees $' <br /> Cf) Po ark or - <br /> 0 <br /> U. <br /> Ih I V also wish to receivehe_ <br /> SEND es• foVVoa INV l�vQw� as <br /> de r 2 for addi canal extra f u <br /> -Gj scom e e dams 3,4a,and 4b. o11hi m o t w can velum this <br /> yy; aCom doe not 1. ❑ Addressee's Address <br /> m ..■print your name and address on the h if d <br /> card to you. N <br /> y ,Attach this form to the front of th mail rlp�ece el w i rite number. 2.❑ Restricted Delivery <br /> peri!' a delivered and the date y <br /> m' ■Write•Return Recerpt Requested'o Consult postmaster for fee. <br /> ■The Return Receipt Oil show to whom the article fIV <br /> delivered. 4a,A[tiCl9 Num Br E <br /> 3.Article Addressed to: _. �J�/Lfpp44J 2 <br /> ,4b.Service Type W <br /> ?� )a Certified <br /> CL <br /> MARY -DFgg s ❑ Registered ❑ insured <br /> 1250 EDGE4d00D DR ❑ Express Mail <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> LODI CA 95240 ,�f,,l 2 <br /> - 7.Date of Deliver �NY �t C". '���� T <br /> _ 1 i s� <br /> O - <br /> S.Addresses' dress(Only if requested <br /> Print Name) _ <br /> 5.Received By: ( and fee is a' ) t <br /> �� 5 <br /> '_T Sig ufe: (Ad s r�or gent) <br /> .� <br /> ' Domestic Return Receipt <br /> PS orm 1, December 1994 +� <br /> rU <br />