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aaK� <br /> 1n^ I also h to receive the <br /> i Y11 <br /> y • Complete items 1 and/or 2 for additional services. follOWing ServICOS (for an extra, <br /> • Complete items 3,and 4a&b. fee}: <br /> L 0) • Print your name and address on the reverse of this form so that we can €s F- (? <br /> 1 return this card to you. ❑ AlA&ds$eee' p` <br /> N • Attach this form to the front of the mailpiece,or on the back if space BS ¢ <br /> does not permit. 2. ❑ Restricted Delivery d <br /> I' Write"Return Receipt Requested"on the mailpiece below the article number. <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> CD delivered. '` <br /> 4a. Article Number nJ <br /> 3. Article Addressed to: p 298 999 W —a <br /> 932 <br /> WALT DEN DULKZm <br /> 4b. Service Type c <br /> E RIPON MILLING ❑ Registered ❑ insured cm j <br /> c0i P O BOX 18Q ` � � Certified ❑ COD �� [3 <br /> tin RIPON CA 95336 [-1ExpressMail ❑ Return Receipt for 3 17 <br /> Merchandise `y <br /> 7. Da of vepM�' 02 <br /> O <br /> Q <br /> 1 8. Addressee's Ad <br /> 5. S gnat a ddresse ss [Only if requested�e <br /> If cc <br /> and fee is pai <br /> c <br /> r <br /> I— <br /> 6. Signature (Agent) ^� " <br /> 1 <br /> ? PS Form 3811, December 1991 *U.S.GPO:1993-352-714 D M STIC RETURN RECEIPT <br />