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SENDER: <br /> v <br /> "Complete Hems 1 andior2jftditional services. I also wi receive the <br /> m •Complete Items 3,4a,andIIIIIIIIIIIIIII q •Prim your name and eddres n the reverse LLWS c.u f0110Wiwn (for an <br /> card to you. n o that we can return this extra fee): <br /> i •Attach this form to the front of the Permit. maiipiem.or on the back if space does not U <br /> 1. ❑Addressee's Address <br /> 0 •WM-'Return Receipt Requested'on the mailpiece below the article number. y <br /> I i •The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery rn <br /> C delivered. <br /> o _ Consult Postmaster for fee. a <br /> d RESIDENT 4a.Article Number a <br /> E 1005 W BENJAMIN HOLTMR g ¢ <br /> 4b.sery ce Type <br /> 0 STOCKTON CA 95207 <br /> U <br /> rn <br /> IJ Registered Certified ¢ <br /> ¢w <br /> 11 Express Mail ❑ Insured S <br /> C etum ceiptfor Merchandise ❑ COD <br /> o <br /> ¢ 7.Date of eli F <br /> Z 2 <br /> i 5.Received By:(Print Name) <br /> U.Addr ssee's Address(Only if requested <br /> r and f e is paid) <br /> 0 6,Si to (Addressee or Age <br /> m <br /> Ps Form 11, Decembe ssq Domestic Return Receipt <br /> a SENDER: I also wish to receive the <br /> V •Complete items 1 and/or 2 for additional services. following services(for an <br /> Z :Complete <br /> items 3.4a,and 41b. <br /> m •Print your name and address on the reverse of this form W that we can return this extra fee): y <br /> card to you. <br /> •Attach this Conn to the front of the mailpiece,or on the back it space does not 1. ❑ Addressee's Address •� <br /> ` permit. w <br /> •Wrile'Retum Receipt Requested <br /> The <br /> the mailpiece below the article number. 2. 11 Delivery ce <br /> •The Return Receipt will show to whom the article was delivered and the date <br /> Consult postmaster for fee. n <br /> delivered. <br /> 0 4a.Article Number d <br /> T! RESIDENT F ,3�1 � ¢ <br /> E 1016 W BENJAMIN HOLT DR ab.Service Type <br /> °o STOCKTON CA 95207 [1Registered {7 t.;ertified c <br /> cm <br /> ��pN,CA Ccs p E ress Mail [I Insured .w <br /> ¢ o f fB ` <br /> cc <br /> Receipt for Merchandise ❑ COD o <br /> w 13 Date of Delivery 0 <br /> T <br /> Z <br /> 5.Received By:(Print Name) <br /> .Addressee's Address(Onlyil requested � <br /> t— � Ugps and lee is paid) r <br /> g 6.Signature: (Addressee Agent) <br /> 0 <br /> Ps Form 3811, December tssa Domestic Return Receipt <br /> to SENDER: I also wish to receive the <br /> v :Complete items 1 andror 2 for additional s^d94 following services(for an <br /> n •Complete hems 3,4a,and 41S. <br /> 0 . <br /> Print your name and address on the reverse of this form so that we can return this extra fee): ai <br /> Iiicard to you. <br /> •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address it <br /> permit. 0 <br /> y •Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery rn <br /> z• -The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. rs <br /> delivered. u <br /> 0 — - 4a.Article Number ¢ <br /> RESIDENT P <br /> E 1017 W BENJAMIN HOLT DR 4b.Service Type / <br /> u STOCKTON CA 95207 ❑ Registered A Certified <br /> NAddurm <br /> s Mail ❑ Insured 5 <br /> W <br /> m eceiptfor Merchandise ❑ COD <br /> 0 D iverv_ <br /> ¢ (/ 0 <br /> z <br /> ¢ 5.Received By: (Print Name) e's Address(only ff requested 0 <br /> m and fee is paid) F <br /> g 6.Sig natu e:(Addresse or Agent) <br /> 0 PS Form 3811, December 1994 Domestic Return Receipt <br />