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- I 1 <br /> led <br /> I also wish to receive the <br /> g Complete Nems 1 arrd/a r a on s following services(for an <br /> ■Complete m4a,a 4b. <br /> ■print your name <br /> and a ass a of Mn return this extra fee): <br /> l card to you. 1.❑ Add e's <br /> j <br /> Attach this foRn to the hent Ura maiipiew.a an Q hack it space not �. <br /> Apettach• 2.❑ Restricted Delivery <br /> ■C "Return Roceipr Requested"on the mallpiece bebw <br /> i ■The Return Receipt will show to whom the ankle was deliv red t Consult postmaster for fee. <br /> delivered. <br /> la.Article Numberp <br /> ---7-/g21q/,R <br /> NICK PENA ALFRED 5 BETTY PENA 46.Service Type 3 <br /> 293-7 VENEMAN RD #125 ❑ Registered *Certffied p� <br /> MODF=O CA 95350 © Express Mail ❑ Insured <br /> 0 Return Receipt for Memhandise ❑ COD $ <br /> 7.Date of Delivery <br /> 5,Heceived By:(Print Name) 8.Addressee's Addr (Only if requested <br /> and fee is paid) rC <br /> 6.Signature:(Addressee or Agent) } <br /> ! X <br /> I -q PS Form 3811,December 1994 102595-WB-0229 Domestic Return Receipt <br />