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SECTIONDELIVERY <br /> COMPLETE <br /> A 2Si attire p n <br /> ■ Complete items 1, ,and a.Also complete Agent <br /> j i /�---��y <br /> item 4 if Restricted Delivery is desired. X� l Addressee <br /> ■ Print your the reverse <br /> � t0 you. ' ived by(' am C. D e of livery <br /> SO that Welty"" <br /> ■ Attach this card to the back of the mailpiece, ❑Yes <br /> or on the front if space permits• s delivery ad rens di ferent from herr'1? <br /> q;.�— ❑No <br /> Addressed1. Article Addressed to: K YES.egr, s�belt r �(J <br /> TRAVIS BRYANT 1. Prv� U}RptJ." r S <br /> INTERSTATE BRANDS CORPORATION li��Ri e um Receipt for Merchandise <br /> 12 E ARMOR BOULEVARD Refit' 0 c O D. <br /> KANSAS CITY MO 64111 [3 insured Mau ra Fse) Yes <br /> 4. Restricted Delivery? <br /> 2. Article Number 7003 2260 0003 318 6 1615 <br /> (liansfer from service labs 1. <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> . . DELIVERY <br /> COSENDER: SECTION <br /> ■ Complete items 1,2,and 3.Also complete <br /> A. ignatu Agent <br /> item 4 if Restricted Delivery is desired. X <br /> ■ Print your name and address on the reverse C. Date of Delivery <br /> so that We a �h.9=to m B. i by(Printed Name) - <br /> ■ Attach thi t b�aw+s.the mailpiece, LU '" [ j <br /> or on the front if space permits. UNIT IV D'Is r nren,addfess��er�i,t' 1? 0 Yes <br /> If YES,enter delivery address below: No <br /> 1. Arucle Addressed to: <br /> APR <br /> P r, '2' 2606 <br /> ENV±ni_IW-,`;1'.N i HEALTH <br /> LORRIE GREENE 3 rca Type <br /> 144 AVENIDA MIRA FLORES Certified Mail O Express Mail <br /> TIBURON CA 94920 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number 7003 2260 0003 3186 1608 <br /> (7hv=er horn service kbO 59 -M-1540: <br /> PS Form 3811,February 2004 Domestic Return Receipt - <br />