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Z 016. .9?� ,O95` h <br /> I <br /> ,�Ng <br /> pt f�N 2 $1995 <br /> Certified= f it >�,- <br /> 'No Insurance Coverage Provided <br /> E D�kP o"trtjs�e-f6Prinfdifiatia11IJ4'alf! <br /> fY TARDITI <br /> St to N <br /> p�Q,Slate,.gAd ZiP Ggr1p 2 4 0 <br /> Postage l.A J 7 V .32 <br /> Certified Fee <br /> -.1.101 <br /> 1 <br /> c� <br /> Special Delivery Fee - <br /> 3 <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> to Wham&Date Delivered <br /> Return Receipt Showing to Whom, <br /> Date,and Addressee's Address _ <br /> NOTAL Postage- <br /> &fees <br /> O '.Postmark or Date <br /> co3 <br /> 0 <br /> LL <br /> } <br /> iE %- r�J/ 1 also wishve the <br /> T D m t ite andlor 2 for additional serwce ,,Rw,g Se>iidTEN <br /> l�a <br /> } . C plea items 3,and 4a&b. ��'�'� ��/ <br /> Print your name and address on the reverse of this form so that we can m <br /> m,return this card to You- 1. ❑ Addressee's Address y <br /> � Attach this form to the front of the rnailpiece,or on the back if space ¢. <br /> does not permit- 2. ❑ Restricted Delivery m <br /> • hNri Return Receipt Requested"on the mailpiece below the article number• Consult postmaster for fee. ; <br /> +�' • Theum Receipt will show to whom the article was delivered and the datecc <br /> C delivered. 4 Article Num er <br /> 3. Article Addressed to: 1 , /1L,/• <br /> r * ,a <br /> 4b. Service Type a <br /> ERRY TpgDIT I. INC # ❑ Registered ❑ Insured <br /> CL <br /> 0 T & T TRUCRI99 Certified ❑ COD <br /> 0 11396 N HWY W Express Mail ❑ Return Receipt for 95244 <br /> LO - Merchandise g <br /> DI CA <br /> 7. date of Delivery c <br /> QB. Addressee's Address(Only if requested <br /> Z nature I ressee) <br /> -r <br /> �E'�"-�Il and fee is paid) L, <br /> � r` <br /> uJ <br /> e � <br /> Signature (A ent) <br /> : m <br /> >-. <br /> PS Form 381 1, December 1991 •1rU.5.GP0:1893-3r`Z'�t4 DOMES7lC RETURN RECEIPT <br />