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P 419 850 940 1 <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provaed <br /> Do not use for In r a ' n ail <br /> (See Reverse) „ <br /> Se"FRANCES O OTO <br /> Street and No. <br /> 431 W JEFFERSON <br /> FSTWrTbN`eCA 95206 <br /> Postage <br /> 29 <br /> Cenllietl Fee <br /> 1.00 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> N <br /> Return Receipt Showing <br /> M to Whom,&Date Delivered 1.00 <br /> W Return Ra(eipt Showing to Whom, <br /> Date,and Addressee's Address <br /> 7r TOTAL Postage <br /> C' &Fees <br /> Postmark or Date <br /> M ' <br /> E <br /> o` <br /> LL <br /> to <br /> • SENDER <br /> 3 : Complete items 1 and 2 when additional services are desired and co late items <br /> and 4. _ <br /> Put your address in the "RETURN TO" Space on the reverse side. Failure to Ao thi will nt this <br /> card from being returned to you.The return recei t fee will rovide ou the name of the Person delivered <br /> to and the date of deliver .For a tttona ees t e o owing services are aval a e.Consult postmaster <br /> or ees i ox es for additional services) requested. <br /> 1. ❑ Show to whom delivered, date, and addressee's address. -2. ❑ Re3triccad Delivery <br /> (Extra charge) (Lora charaFe) <br /> 3. Article Addressed to: 4. Article Number <br /> FRANCES OKAMOTO P 419 850 940 <br /> 431 W JEFFERSON ST Tvpe of Service: <br /> STOCKTON CA 95206 ❑ Registered ❑ Insured <br /> KXconifisa 1:1 COD <br /> ❑ Express Mail ❑ Return Receiut <br /> for Merchandise <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br /> 5. Signature — Address 8. Addres 's Address (ONLYif <br /> i reques d fee paid) <br /> Slgndture — Agent <br /> X � <br /> 7. Date of 10 sliver y <br /> PS Form 811,Mar. 1988 • U.S.G.P.O. 1988-212-885 DOMESTIC RETURN RECEIPT <br />