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# Z -128 °782 :687 <br /> US Postal Service <br /> Receipt for Certified'Maik-4 <br /> BEf6idti ik W WEVER <br /> '617 N STOCKTON AVE <br /> RIPON'.° CA 95366- <br /> r <br /> 3 <br /> NOV 1.819 { <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> LO Restricted Delivery F e <br /> 0 ReturnRec ' S <br /> Whom& - <br /> CL Retum R t Whom, <br /> Date,& <br /> o _ <br /> 0 TOTAL Pa &Fees $ <br /> .00 <br /> Postmark or Date <br /> to <br /> N <br /> ■Complete items 7 art or 2 additional sery I also wish to receive the <br /> �+ .Corrtprete Items 3,4 a NIT following services(far an <br /> ■Print your narra and dre on 0f s <br /> card to you.}` w an return this extr f d <br /> > ■Attach this form to the fron of the mailpi e,or on t k it ace 1 �QQ� <br /> pWer_mit. p t 1. dyes e'�ptUdress <br /> t e The Retu o ReDceeiptiwil show to whom the rtuested'on the licle waseldoelivee mbe, 2.❑ Restricted Delivery <br /> C delivered. ���VVVddd��Vdd���fff���fff��� Consult postmaster for fee. <br /> 0 3.Article Addressed to: a <br /> ti 4a.Article N r <br /> BERNARD <br /> & W WEVER f <br /> 617 NSTOCKTON AVE ' 4b•Service Typec <br /> RIPON CA y5366 i] Registered Certified <br /> 11 Express El Insured <br /> © Ret neipt for andise O COD w <br /> 7. e v <br /> 5. 'Received BO <br /> By: (Print Name) e: a �+ <br /> my if requested Y <br /> e aid) c <br /> 6.5ignature: (Addressee orAgent) 10 <br /> L . <br /> X <br /> PS Form 3811,December 1,994102595-9&"225 <br /> -•- _ . Domestic Return Receipt . <br />