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-Z- ,128. ..78'4 "402 <br /> US Postal Service 4 _ I <br /> Receipt for Certified Mail <br /> MARK LEMIEUX r4 <br /> CALIFORNIA STATE UNIVERSITY t <br /> - STANISLAUS <br /> 801 MONTE VISTA AVE - <br /> TURLOCK CA 95382 { <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> i <br /> Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> _ Whom&Date Delivered <br /> Q Return Receipt Showing to whom, i <br /> Q Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees Is <br /> !l .' <br /> Postmark or Date <br /> -E - <br /> 0 <br /> LL <br /> t a <br /> mSENDER: / m, <br /> w� <br /> v ■Complete Items 1 an or 2 for additl nal also wish to receive the ?h <br /> N ■Complete items 3,4a,and 4b. - following services(for an - - <br /> m ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you, <br /> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> permit. <br /> O ■Write'Rstum Receipt Re t o th mil ie below the article number. 2. ❑ Restricted Delivery N !� <br /> ■The Return Receipt will stwhrrt�e Alas delivered and he,date <br /> c delivered. U1�1 Y�' Consult postmaster for fee. a <br /> 3.Article Addressed to: 4a.Article Number <br /> cc <br /> lJo� E <br /> •, E MARK LEMIEUX 4b.Service Type � t <br /> CALIFORNIA STATE UNIVERSITY Registered (Certified <br /> STANISLAUS ❑ Express Mall ❑ Insured 5 <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> V ' <br /> c 801 MONTE VISTA AVE � p � e• <br /> TURLOCK CA 95382 ; 3 <br /> - - - a� <br /> 5.Received By: (Print Name) 8.A rens e's Address(Only if requested <br /> and fee rs paid) <br /> c6.Signature: ee orAgenf) <br /> q X AA DAQ A* "" .. <br /> PS Form 38 , ember 1994 102595-97-s-0179 Domestic Return Receipt <br />