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m SENDER: <br /> v :complete Nems 1 ar�for additional services. I a sh to receive the <br /> a •complete Items 3,4a,and 4b. follg Services(for an <br /> a •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. y <br /> j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address 2 <br /> E! pemtlt. it <br /> o, •Wute'Retum Receipt Requested'on the mailpiece below the article number. 2. El Restricted Delivery N <br /> .� •The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. <br /> v 3 4a.A ' e Number <br /> RESIDENT PYY7 7� ��" jr <br /> E 6807 GETTYSBURG PL 4b.Service Type <br /> STOCKTON CA 95207 ❑ Registered 9� ertified Wo <br /> .W ❑ Ex ress Mail ❑ Insured m <br /> c etumReceipt for Merchandise ❑ COD <br /> C 7.Date of Deliv ry <br /> z 7 7Z 'o <br /> cc <br /> T <br /> 5.Received By:(Print Name) 8.Addressee's Address(Only If requested <br /> and fee is paid) t <br /> t <br /> g 6.Signature:(Addressee orAge <br /> M <br /> X <br /> PS Form 3811, Decembe sa Domestic Return Receipt <br /> m SENDER: I also wish to receive the <br /> v •Complete hems 1 and/or 2 for additional services. <br /> m •complete items 3,4a,and 4b. following services(for an <br /> m •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to u. <br /> j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> perms <br /> y •Write!Rsfurn Receipt Requested'on the mailpiece below the article number. 2. 13 Restricted Delivery y <br /> t„ •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. <br /> 0 <br /> v a.Artin�a ndnro===.+m 'a.Article Number q. �� r•, <br /> RESIDENT P y�7 73 / 7 <br /> 6863 GETTYSBURG PL b.Service Type _�� � <br /> °n ] Registered 0�- ertified rn <br /> STOCKTON CA 95207 0 <br /> W ] Ex ass Mail ❑ InsuredLu <br /> q <br /> cc etumReceipt for Merchandise ❑ COD <br /> p - .Date of Dell very/ 2 <br /> z ,Zlf�/`2 T <br /> d.Addressee's Address(Onlylf-requested <br /> tm Lips and fee is paid) L <br /> r <br /> N 6.signatur (Addressee Agent) <br /> r X <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />