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i <br /> 1 also wish to receive the II <br /> SEN � or an extra _ <br /> -� t for for additional ervi es. I�}F�ng sp 4996 <br /> • Co pl e ,and 4a&b- th we c n Irru O 1 ` <br /> Co ete i ems fv <br /> • Print your name and address on the rever o1 this 1 t] Addressee's Address N � <br /> c G ! <br /> 7 return this card to you. + <br /> > . Attach this form to the front of the mail ie 2 ❑ Restricted Delivery m <br /> .. does not permit. e w the article umber. p <br /> m Write"Return Receipt Requested"on the t +e Consult postmaster for fee. <br /> .�+ • The Return Receipt will show to who <br /> the article was delivered and the date C 3 <br /> go G delivered. rt1Cl IVU be <br /> cc .fl 3. Article Addressed to: <br /> ���•� <br /> M ,m, 4b. Service Type <br /> cc <br /> m RENO EERRERO ❑ Registered ❑ Insured <br /> M a ❑ <br /> 13— E + P O BOX 2366 Certified COD <br /> M 0 1 MERCED CA 95344 Return Receipt for 3 <br /> Express Mail ndtse p <br /> U <br /> 7. Date of D <br /> ru <br /> �,. <br /> y o <br /> CL M Address a :Addr j 0 1 if r quested d <br /> cc <br /> gnatur Address 1 d fees p +d1 <br /> 7 <br /> g, nature (Agent) <br /> 3 *U.S.GPO:199 2-7 4 DOMESTIC RETURN RECEIPT <br /> T PS Form 11, December 1991 <br /> H <br />