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• r <br /> } I also wrs to r !ceive the ` <br /> 1 ai <br /> 1:2 SE o et i dlor 2 for additional services. ,� ll ng Se 4jR2!,o `q%I 6 <br /> • Complete items 3,and 4a&b. at we can •p1►2T2' v ` <br /> S m <br /> W Print your name and address th re 1 ❑ Addressee's Address y I <br /> d return this card to you. ce or on the bac if space G <br /> >t. • Attach this form to the fron of them 2 ❑ Restricted Delivery S i <br /> does not permit. the�el a article number. p <br /> d Write 'Return Receipt Consult postmaster for fee. � <br /> •_�' • The Return Receipt will show to whom the article was delivered and the date k <br /> C <br /> delivered. Article Number ` <br /> 3 <br /> 3. Article Addressed to: <br /> d <br /> m 4b. Service Type ❑ Insured c <br /> a HORST HANF ❑ Registered ❑ COD I <br /> i 834 SAN FRANCISCO BLVD Certified y <br /> RAFAEL CA 94901 Return Receipt for ` <br /> ❑ Express Mail Merchandise c � <br /> rn . SAN <br /> I.w 7. Date of Delivery C i <br /> -- — T <br /> I <br /> Q <br /> _ 8. Addresse res 10 ly if requested <br /> { 5. Si n re (Addres, 1 and fee is p id) s <br /> t— 4^ <br /> "U 6. Sign a (Agent) i <br /> t � PS Form 381 1, December 19 <br /> irU.S.GPO:1993-3+`2714 DOM IC RETURN RECEIPT <br /> G <br /> P 321 093 405 <br /> -rnJUN2 0 1996 <br /> i <br /> U ce <br /> Receipt far Certified Mail, <br /> HORST HANF <br /> 834 SAN FRANCISCO BLVD <br /> SAN RAFAEL CA 94901 <br /> i <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee", <br /> Restricted Delivery Fee I <br /> N <br /> Return Receipt Showing to <br /> Whom&Date Delivered C <br /> Q Retum Receipt Showing to When, <br /> Q Date,&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> i QO <br /> tv) Postmark or Date <br /> € t <br /> ri <br /> 0- <br />