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P 590 424 623 <br /> US Postal Service <br /> Receipt for 06dificd Mail <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail(See reverse <br /> ,Sent to <br /> Street&Number <br /> I � -3 J- <br /> Post Office,State,&ZIP Code <br /> S j� C el S a z <br /> Fostage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O <br /> 0O TOTAL Postage&Fees <br /> Is <br /> M Postmark or Date <br /> E <br /> 0 <br /> d SENDER: 60 <br /> ■Complete items 1 an rl <br /> ®Complete items 3,4a,and 4b. ,-------------- I also wish to receive the <br /> at ■Print your name and address on the reverse of this form so that we can return this exlfollowing <br /> lo services(for an <br /> card to you. <br /> ■Attach this form to the front of the mailpiece,or on the back if space do <br /> 0 permit. es not ►,❑ Addressee's Address 2 <br /> ■Write"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery d <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. <br /> 0 3.Article Addressed to: Consult postmaster for fee. c <br /> y 4a.Article Number m <br /> CL <br /> p <br /> 0 BUTCH SCHMIDT 4b.Service Type <br /> SUSD ❑ Registered L-21-Certified pU <br /> 1932 EL PINAL DRIVE ❑ Express Mail ❑ Insured c <br /> ❑ <br /> CA 95205 Return Receipt for Merchandise ❑ COD <br /> 7. Depf very, <br /> 5. Received By: (Print NameZ) <br /> 1111 o <br /> 8.Addressee's dress Only if requested <br /> and fee is p i ) <br /> c <br /> 6. ' nature: (A d essee o gen <br /> X YrJI <br /> PS Form 3 11,D ember 1994 102595-98-B-0229 <br /> Domestic Return Receipt <br />