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■Complete items 1 and/or 2 for additi i also wish to receive the J <br /> w ■Complete items 3,4a,and 4b. <br /> B=t <br /> Prim your name and address on the rays of th, so that we can return this Bxt �88rVICBS(far an <br /> card to you, Q Q � <br /> w Attach this form to the front of the maitpieoa,or on the back H 0 3 1999 <br /> f-❑ Addressee's Address <br /> r Write"Refum Recelpf Requesf8&on the mallpieoe below <br /> Th <br /> ■ e Return Receipt will show to whom the article was delive r 2•❑ Restricted Delivery ....AA <br /> delivered. to <br /> i .. t Consult postmaster for fee. <br /> 4a.Article Number <br /> LEE HANSEN�* <br /> ARCTIC ICE 44,Service� Type` 36 N I'D" yp <br /> STOCKTON CA 95205 ❑ Registered Certified I <br /> ❑ Express Mail Insured <br /> l 1 ❑ Return Receipt for Merchandise 0 COD <br /> 7. Date of Delivery <br /> U. Received gy:(Print Name) <br /> 8.Addressee's A ess(Only if requested Y <br /> i <br /> SX nature: (Addressee or Agent) and fee is paidM <br /> ��`�" �to2ss5 9a a-0zza D estic Return Receipt <br />