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9 ER: <br /> els wish to tecei the <br /> o etc etams 1 and/or 2 for additional services. P. � <br /> ate nems 3,and 4a&b. foliovt' t-1 jiQsJW extra w <br /> a: •`Print y¢qr name and address on the reverse of this form so that we can feel: •} <br /> return Nils card to you. m <br /> m • Attach this form to the front of the mailpiece,or on the back if apace 1. ❑ Addressee's Address fA { <br /> Las.not permit. .. <br /> V1 s • Write"Return Receipt Requested"Qn the meilpiece below the article number. 2 Restricted Delivery <br /> p • The Return Receipt will show to whom the article was delivered and the dat <br /> Le <br /> r. o delivered. Consult postmaster for fee. m 1 <br /> V 3. Article Addressed to: 4a. Article Number <br /> ADOR LOPEZ P 298_ 999 765 <br /> Er f3. H 4b. Service Type <br /> E IRUENA H LOPEZAL ❑ Registered D Insured <br /> ` <br /> ° w <br /> I ElU MOSSBEACH CT Certified _r] COD E <br /> ru 2 � Ex Return Receipt for 3 <br /> Uj r S�31LRAMENTO CA 9 3x1. , pfess Mail ❑ <br /> Merchandise c <br /> 7. Date of Delivery <br /> a r <br /> 5. i ature ddressee1 8. Ad ress s ddress(Only if requested Y <br /> an fe s ) m <br /> H � � <br /> ¢ 6. Signatur (A nt) <br /> i <br /> PS Form 3811, December 1991 *U.S.Gm i992-323.402 DOMESTIC RETURN RECEIPT <br />