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SEN <br /> S 'y • CoP111, <br /> 1 a or 2 fo a ittonalservices. aso C e <br /> Coitems ,and 4a&b. <br /> \` following services (fora xtra <br /> i Print your name and address on the reverse oft ' rm o th w$can <br /> return this card to you. J fee): ii 1�Q4 > <br /> y • Attach this form to the front of the mailpiece,or t back ifapace 1. ❑ A are a S FFIY25 m <br /> does not permit. N <br /> Write"Return Receipt Requested"on the mailpiece below the article number. d <br /> • The Return Receipt will show to whom the article was delivered and the date 2. El Restricted Delivery <br /> c delivered. Consult postmaster for fee. 4) <br /> 3. Article Addressed to: . Article•Npm er <br /> m - !// c <br /> a HORST HANF <br /> 4b. Service Type m <br /> 0 834 SAN FRANCISCO BLVD ❑ Registered ❑ Insured <br /> N SAN RAFAEL CA 94901 Certified El COD c <br /> w Express Mail ❑ Return Receipt for 0 to <br /> cc o Merchandise w7. Date of Delivery <br /> 5. Sig a re (Addressee) 8. Addressee' dress(Only if requested Y I. <br /> and fee is ai ) e <br /> H r ; <br /> cc 6 Si ature (Agent) ~ <br /> 5 I <br /> i, P Form 3811, Dec ber 1991 *U.S.GPO:1993-352-714 DOOM RETURN RECEIPT k 7 <br /> p 293 ` 132 200 <br /> Receipt for, <br /> Certij, . - <br /> � <br /> T. <br /> No Insurance Coverage vlded. <br /> Pos*,vo TATesWICE Do not use for International Mail i <br /> (See Reverse) <br /> Sent to - - - <br /> QRST HANF <br /> 14anS'AN FRANCISCO BLVD • <br /> . , to --' <br /> Ni <br /> Postage <br /> S 32 <br /> Certified Fee <br /> Special Delivery Fee - - <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> p� to Whom&Date Delivered <br /> Return Receipt Showing to Whom, - <br /> fi{{ff C Date,and Addressee's Address - <br /> � <br /> TOTAL Postage <br /> C &Fees _ 5.52 I <br /> Postmark or Date <br /> O <br /> LL <br />