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i <br /> t <br /> Z111 1--ZZ94, <br /> c• S I also wish to receive the <br /> v ■ omplete items 1 and/or 2 for additio services. following eNiCe n <br /> m ■Complete items 3,4a,and 4b. g <br /> m ■Paint your name and address on the eve a t� �t s e-�ls/ e 1 ai <br /> in card to you. <br /> d ■Attach this form to the front of the mailpieoe, r on th back if space does no 1• ❑ Addressee's Address <br /> ` permit. d ` <br /> ry ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery to <br /> ■Thg Return Receipt will show to whom the article was delivered and the date' Consult postmaster for fee. d <br /> delivered. p <br /> c 4 .Article Number <br /> 3.Article Addressed to: (/o <br /> a DONALD R & I1M SALMON 4b.Service Type d <br /> 0 5727 CLOUDS REST Certified �. <br /> E ❑ Registered <br /> col MARIPOSA CA 95338 ❑ Express Mail Insured H <br /> W ❑ Retum Receipt for Merchandise ❑ COD , <br /> C 7.Date of Delivery ; <br /> Q 0 4 <br /> 5.Received By: (Print Name) 8.Addressee's dress(Only if requested <br /> LU , and fee is i <br /> LU <br /> 5 6'Si nat6 (A re ee or g nt <br /> PS Form 3811, December 1994 eStIC Return Receipt <br /> IF <br /> :P 590 425 '464,. <br /> US.20stal,Sery UUL 21 1W— <br /> Rebeiliffor Certified Mail ' <br /> DONALD R & MAE SAIMON <br /> 5727 CLOUDS REST <br /> I.-MIPOSA CA 95330 If <br /> r <br /> e $d Feel Delivery Fee <br /> 4 ; <br /> Restricted Delivery Fee <br /> M Return Receipt Showing to <br /> i Whom&Date Delivered k <br /> a. Return Receipt Stowing to Whom, <br /> Q Date,&Addressee's Address 4 - <br /> O TOTAL Postage&Fees Is Y <br /> 0o <br /> c) Postmark or Date <br /> ii w .. <br /> A <br /> o_ `i <br />