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" SENDER: + <br /> d <br /> 'o •Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> w •Complete items 3,4a,and 4b. <br /> d •Pdm your name and address on the reverse of this fano so that we can return this following Services(for an <br /> t f' card to yoo. extra fee): <br /> i •Atlach this form to the front of the mailpiece,or on the back if space does not v <br /> permit. 1. ❑ Addressee's Address <br /> d <br /> :The <br /> Receipt Aequested'on the mailpiece below the article number p, ❑ RBstfIC[ed Delivery <br /> N <br /> « •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. <br /> c Consult postmaster for fee. <br /> RESIDENT 4a.Article Number � <br /> J7 0 /.szo fs <br /> E 1050 W BENJAMIN HOLT DR 4b.Service Type � <br /> 0 STOCKTON CA 95207 ❑ Registered it7 certified Ix <br /> rn ❑ Express Mail; 13c <br /> Insured <br /> c - etumReceipt for Merchandise ❑ COD <br /> ¢ .Date of Delive <br /> �I o <br /> f/ i <br /> 5.Received By:(Print Name) U.Addressee's Ikouress(Only!t requested x <br /> w and fee is paid) t <br /> g <br /> U.Signatur . ddressee or gent) ~ <br /> 19 <br /> N <br /> Ps Form 381y,December 1994 Domestic Return Receipt <br />