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y <br /> Z 128 784 290 <br /> us Portaf Serve y _ <br /> 4 BRETT LARSON <br /> UNION ICE LTD }' <br /> 6100 E SHEILA ST <br /> LOS ANGELES CA 90040 <br /> SEP 0 3 1999 <br /> i' Cerdied-Fee ! > <br /> Special Delivery F e <br /> R MR eipt o o F <br /> J ir VJh & to livered <br /> 'ReoMm eceipt Showing to yYhan,, <br /> ` Q 'Date,&Addressee's Address <br /> 0 TOTAL Postage&Feet <br /> Postmark or Date <br /> 0 <br /> U- <br /> CL <br /> 1 also wish to receive the �. <br /> $ComD 13 items t andlor 2 for Ise following services(tor an <br /> ■Complete items 3.4a,and 4b. <br /> ■Print your name and address o the of to that we can return this a 1�AfSSlCtl <br /> card toSe 67 dress <br /> . ■'Attach tris'form to ft front of the Ip eca, on the back N a <br /> + ■Write'Retum RecW Requested•on the mailplece below th a e r. 2.❑ Restricted Delivery <br /> E-The Retum Receipt will show to whore ftarticle was delive Consufl pOStmaster for fee. ti <br /> :ldelivered. <br /> X4b. ie N beBRETT LARSON iUNION 'ICE LTD ice Type <br /> ❑ Registered Certfffed <br /> 6100 E SHEILA ST - <br /> g '; ❑ Express Mail Insured <br /> LOS ANGELES CA 90040 <br /> ❑ Return Receipt for Merchandise ❑ COD � '- <br /> 1 7 7.Date of Delivery } <br /> 4 _ c . <br /> ` 5.ReoeivedBy:(P' am — 8.Addressee's A ress(Only if requested 'M <br /> t :i aila!� and fee is pa' I <br /> 6.Signature:(Add Agent) A' <br /> I. = PS Form 3811,December 1994 <br /> ,o259-sa-B 'Domestic Retum Receipt �, <br />