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, tf <br /> ii 1so wish to receive the <br /> following services (for an extra <br /> + omp! yte tan r 2 or di nal services. � � �� 7 <br /> m .' Complete items 3,and 4a Br b. w can fee): ~ <br /> m <br /> ` ':-Print your name acid address on the reverse of this or "Addressee's Address <br /> y return this card to You- or on G <br /> Attach this fcrm to the front of the mailpiece, the hack if space <br /> does not permit' 2. ❑ Restricted Delivery <br /> t • Write"Return Receipt Requested"on the mailpiece below the article he date Consult <br /> Consult postmaster for fee. 0 <br /> •+ . The Return Receipt will show to whom the article was delivered and the date <br /> C delivered, 4a. Article Number e <br /> P 298 999 892 <br /> 3. Article Addressed to: <br />• m lx <br /> m W H COLBERG 4b. Service TYPe ❑ insured a <br /> ❑ Registered <br /> E COLBERG INC ❑ COD <br /> ri P O BOX 1288 Certified <br /> Return Receipt for c <br /> CAL 95201 ❑ Express Mail ❑ Merchandise <br /> 0STOCKTON 3 <br /> G j 7. Date of Delivery BEC o <br /> QS. Address e' Address(Only if requested A <br /> 5. Signature (Addressee) and fee is id) t <br /> F- <br /> F- <br /> 6. Si ature (Agent) <br /> Cr <br /> ' *U.s.+;Po f�3— ''ta MESTIC RETURN RECEIPT <br /> T pS orm 3811, DecembeJi <br /> r 1991 <br /> 298999 892 IS <br /> _gym <br /> Rec� for <br /> 3 V.94 <br /> Certified Mail <br /> w No insurance Coverage Provided <br /> �i Do not use for international Mail <br /> f oaeNs.=sew cr <br /> (See Reverse) <br /> se 'to W,-HCOLBERG <br /> �3f cdh 95201 n. <br /> Li <br /> r� <br /> $_ Postage -29' <br /> Certified Fee <br /> 1.00 <br /> `Special Delivery Fee , <br /> Restricted Delivery Fee <br /> Return Receipt Showing 1 "�+ <br /> tc Whom&Date Delivered 4 <br /> r Return Receipt Showing to Whom; <br /> - C Date,and Addressee's Address - <br /> I TOTAL Postage $ 2 239 <br /> c; &Fees r <br /> 0 Postmark or Date <br /> i� x u <br /> a <br /> N <br /> a <br />