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d SENDER: I also wish to receive the <br /> v •Complete items 1 and/or 2 for addiliona sernces. 10110Wing services(for an <br /> `n •Complete items 3,4a,and 4b. <br /> m •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> m •Attach this fo1, ❑ Addressee's Address <br /> rm to the front of the mailpiece,or on the back if space does not <br /> permit. <br /> y •Wdte'Refum Receipt Requested'on the mailpiece below the article number. p, 11Restricted Delivery U) <br /> •The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> delivered. <br /> o - 4a.Article Number <br /> cc <br /> RESIDENT � � % 5 j <br /> E 604 BRENT AVE 4b.Service Type /� <br /> cc <br /> 0 STOCKTON CA 95207 ❑ Registered -0 Certified <br /> ❑ Epress Mail ❑ Insured <br /> N <br /> Retum Receipt for Merchandise ❑ COD <br /> 1CC 7.Date of Dli ryer <br /> 5.Received By:(Print Name) 8.Add ess 's Address(Only it requested m <br /> and fee is paid) <br /> g 6.Signature: (Addressee or Agent) <br /> 0 X <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />