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Receipt for ^l <br /> ,.;;�-; Certified Mail...-}-^--"� <br /> — No Insurance Coverage Provided <br /> : Do not use for International Mail <br /> (See Reverse) <br /> sem to <br /> AMES M. <br /> Street and No. <br /> P.O.,State and ZIP Code <br /> F Postage .29 2 9(1 <br /> �. Certified Fee . <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> W Return Receipt Showing . <br /> M to Whom&Date DeliverP.l <br /> y Return Receipt Showingpa Whom, <br /> C Date,and Atltlrassee's Arched, <br /> TOTAL Postage <br /> O &Fees $ <br /> i00 Postmark or Data <br /> 0 <br /> US <br /> • SENDER:! Complete'Rema '9nd*� h rte �1CIo"nt s'eiv'io�$ "sre ile §r�3 and 4. o to items <br /> Put your address in the "RETURN TO"Space on the reverse side. Fa o//t� <br /> t card from being re��yymtned tc•*you.The return recei t fee will provide you the pCtthl'SVe this j <br /> to and the date ofs36 leer :'Fora It one ees t s To owing services are avat.e e. onsu t post'tin st d <br /> 5 or ees an c ec ox it for additional services) requested. <br /> 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Oalivery <br /> (E m charge) (Ext.charge) <br /> r 3. Article Addressed to: <br /> 4. Article Number <br /> JAMES M & B LANGSTON P 293 130 739 <br /> P O BOX 9 7 w - Type of Service: <br /> LATHROP CA 95330 Registered ❑ Insured i <br /> Certified ❑ COD i <br /> Express Mail ❑Return Receippt 1 <br /> far Merchantlise <br /> C,C S Always obtain signature of addressee <br /> 5. I nature Addr as <br /> �_ or agent and DATE DELIVERED, <br /> 8.— <br /> X "i Addressee's Address (ONLY if <br /> C? (2 1' , I request and fee paid) <br /> t 6. Ignature — Agent 5 - <br /> XF <br /> 7. Date of Delivery , <br /> PS Form 3811,Mar, I.P. r U.S-G.P.O. 1988-212-865 DOMESTIC RETURN RECEIPT <br />