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r m SEN <br /> o ■Coni t 1 U0 t,4 If., a i a <br /> N ■Com ete items 3,4a,and 4b. following services(for an <br /> w ■Print your name and address on the re e f this t two n return this extra 41 <br /> I (A mycard to you. n <br /> ■Attach this form to the'trom of the ail ' e s s not �' <br /> 1. ❑ Addressee's ess •� i <br /> d <br /> permit. <br /> � � <br /> 9 `y ■write'Refum Receipt Requested'on mai pie a the i Iul}r(mm rr. 2. ❑ Restricted Delivery y i er <br /> ■The Return Receipt will show to whdm I article wa delivered d the date <br /> Consult postmaster for fee. <br /> delivered. <br /> � 3.Article Addressed to: <br /> - 4a.Article Number d I <br /> rl C RUENA H LOPEZ ET AL. 'P <br /> 4b.Service Type m 'I <br /> 0 ADOR LOPEZ f ❑ Registered Certified <br /> 10 MOSSBEACH CT ❑ Express Mail Insured 5 b <br /> f y =' SACR�NTO CA 95831 ❑ Retum Receipt for Merchandise ❑ COD ' <br /> p !i 7.Date of Delivery <br /> cc <br /> T ri <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only if requested r- <br /> and fee is paid) <br /> 3 6.Signature: (Addressee or Agent) I' <br /> T X <br /> m PS Form 3811, December 1994 Domestic Return Receipt i <br /> L s <br /> Al <br /> f / <br />