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1 G <br /> I also wish to receive the <br /> SEEWYVe <br /> + wf aCarripriete Hems f and/or 2 for additional service following services{for an <br /> rn ■Complete ttems 3.4a,and 4b.61111 <br /> s t t w ret this extra <br /> ■Print your name and address on the APR 1 319 <br /> card to you. ' of 1. ❑ Addressees <br /> ■Attach this iorm-to the front of them IIPJ m <br /> permit. v t�f0 j":e <br /> p .cy.. . a <br /> ■Write"Aetum Rece+pt Request ed",on the maitpiece below the ariicle number. 2. ❑ Restricted Delivery N <br /> M r ■The Return Receipt will show to whom`ttie article was delivered and the date Consult postmaster for fee. <br /> ' delivered. 'R` at <br /> 4a.Article Numb e cc <br /> cr) 17 - 3.Article Addressed to: c <br /> 07 ' m 4b.Service Type ~~ a <br /> t rn J E GEORGE yAGORIO L` Certified Cr <br /> & E LAGOETO TRS ❑ Registered ] Insured c <br /> ^' E 0 GEORGE ❑ Express Mail 0 <br /> Cl:: c. to 27•�:,,E .I�REN� CAMP ❑ Return Receipt for Merchandise ❑ COD o <br /> Q.. <br /> w MANTECA CA 95336 7.pa of c <br /> 8.Addressee' Addr s(Only if requested <br /> I � Z� <br /> d .Received By: (Print Narne) and fee is paid)LLJ <br /> r <br /> gent) 1' <br /> Signat <br /> Domestic Return ReceSp <br /> ' December 1994 } <br /> pS orm 381 $ <br />