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N <br /> •Complete trema 1 andbr 2 fo boal bas. I also wish to receive the <br /> .Complete nems a,+a,a following services(for an <br /> •Prim your name arM adtl ss o of <br /> caro b you m can return this extra feM>N ' <br /> a Alter this form to the front of a mallpiece,or ck d Spec o n t +t V EM 55 9q9q a <br /> pe 1 ❑ Addres a,s 1Ada ss <br /> •Write"Rstum Receipt Request e?pn the mallei e > <br /> •The Return Receipt will show to Ngrn the a,ti a 2.❑ Restricted Delivery fEb <br /> delivered. Consult 4� postmaster for <br /> MARC PASCHINI i 4—�Artic NumberI <br /> CANTAW CORP 4J 3 S <br /> 150D HAW RD 4b.Service Type E <br /> fffrrq��III ❑ Registered ,rC Certified <br /> STOC�"DN CA 95215 <br /> !C1Express Mail Insured <br /> !❑ Wc I <br /> Q Return Receipt Merchant <br /> a �7 Date of Delivery dise ❑ COD 8 <br /> 5.Received By:(Print Name) <br /> 8.Addressee's Address (Only if requested >e <br /> and/ee is paid) c <br /> 6.Signature:(Addressee or Agent) <br /> I � X <br /> t. 9 PS Form 3811, December 1994 1�sas� A_g229 <br /> omestiC Return Receipt <br />