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m SENDER: +l <br /> v •Complete items 1 and/o or additional s$�,&� I also wish to receive the <br /> m •Complete items 3,4a,and 4b. i <br /> m <br /> -Print your name and address on the reverse of this form so that we can retum this following SBNICeS(for an <br /> card to you. extra fee): <br /> 1 j 'Attach this form to the from of the mallpiece,or on the back if space does not o <br /> m permit. 1. ❑ Addressee's Address <br /> m •wdle'Retum Receipt Requested'on the mailpiece below the article number. - y <br /> •The Return Receipt will showto whom the artide was delivered and the date 2. ❑ Restricted Delivery fA <br /> C delivered. <br /> m _ Consult postmaster for fee. c <br /> RESIDENT 4a.Article Number d <br /> 7118 EMERYN ST 'q 5l$ �`f l � <br /> a ` <br /> E 4b.Service Type <br /> S STOCKTON CA 95207 ❑ Registered —B Certified <br /> Ch <br /> GO ❑ ExpressiaAai1 Cq 11 Insured <br /> o fa-Ifetum Re ipt for ❑ COD <br /> z 7.Date of Delivery, m <br /> Jp a 'o <br /> 5. Received By:(Print Name) 8.Addressee's ddres / .+a <br /> m t7j1 if requested <br /> and fee is paid) m <br /> 0 6.Sig r : A d <br /> T <br /> M <br /> PS Form 3811, Dece er lsga Domestic Return Receipt <br />