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d SENDER: +! <br /> v •Complete items 1r for additional services.®"' <br /> •' •Complete items 3, d 4b. l iSh t0 receive the <br /> av, •Print your name and address on the reverse of this form so that we can return this following SerVICOS(for an <br /> m` cam m you. extra fee): <br /> •Atlach this form to the hoot of the mailpiece,or on the back If space does not 4i <br /> �f1e1t' 1. ❑ Addressee's Address ° <br /> _ �Wdte'Refum Receipt Requested'on the mailpiece below the article number. Z <br /> 1« The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery 0 <br /> I C delivered. N <br /> ° Consult postmaster for fee. a <br /> w RESIDENT 4a.Article Number v <br /> E 1027 W BENJAMIN HOLT DR Z -76 9 � <br /> STOCKT <br /> ° ON CA 95207 4b <br /> .Service Type <br /> u <br /> W ❑ Registered 13Certified <br /> ❑ F�press Mail ❑ Insured <br /> p etum Recei dice ❑ COD z <br /> 7.Date of 5 <br /> 5.Received By:(Print Name) <br /> 8.Addressee �gdQre�ss��pO��q/y�jj quested Y <br /> and <br /> g 6.Si ature: dressee <br /> n X '�. -v k.-. <br /> ti 'V1 <br /> PS Form 11, December 1994 Domestic Return Receipt <br /> SENDER: <br /> .V -Complete Items 1 and/or 2 for additional services. I also wish t0 receive the <br /> 'To •Complete hems 3,4a,and 4b. following services(for an <br /> •PrP;ouru name and address on the reverse of this form so that we can return this extra fee): <br /> 1 j •Attach fi form to the from of the mailpiece,or on the back if space does not 1. E3 Addressee's Address <br /> permit. m <br /> at •Wdte-Return Receipt Requested'on the mailpiece below the article number. 2, ❑ Restricted Delivery y <br /> -5 The Return Receipt will show to whom the article was delivered and the date <br /> e delivered. Consult postmaster for fee. <br /> .9 4a.Article Number d <br /> d RESIDENT rcc <br /> E 1037 W BENJAMIN HOLT DR 4b.Service Type <br /> 'w STOCKTON CA 95207 ❑ Registered erGfled <br /> on ❑ Ex ress Mail El Insured S <br /> Lu <br /> M etum Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery <br /> a 2^ 2U -9 ) S <br /> IE <br /> IE 5.Received B :(Print Name) 8.Addressee's Address(Only ffrequested <br /> w �04A) and fee is paid) m <br /> g 6.Signature:(Addresse Agent) <br /> T X <br /> PS Form3811, December 1994 Domestic Return Receipt <br /> m SENDER: I also wish to receive the <br /> m .Complete hems 1 andtor 2 for additional services. following services(for an <br /> q :Complete <br /> items 3,4a,and 4b. <br /> m <br /> •Print your name and address on the reverse of this form so that we can return this extra fee): u <br /> card to you. <br /> 0 •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •Z <br /> permit. ° <br /> •Wme'Refum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery p) <br /> The Return Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> delivered. ° <br /> ° 4a.Article Number ° <br /> RESIDENT <br /> E 1038 W BENJAMIN HOLT DR 4b.Service Type _/ <br /> 0STOCKTON CA 95207 ❑ Registered �cenified - <br /> in ❑ Ex ress Mail ❑ Insured 5 <br /> n N <br /> w etumReceipt for Merchandise [I COD <br /> c <br /> 0 7.Date of Deliv ry <br /> a 7 / 0 <br /> Z V <br /> cc <br /> 8.Addressee' Address(Only if requested <br /> 5.Received By: (Print Name) and fee is paid) m <br /> w <br /> W <br /> g 6. lgnature: ddressee or Agent) <br /> 0 <br /> T <br /> Domestic Return Receipt <br />