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I <br />ai SENDER: U <br />■ Complete items 1 and/or 2 for additional services. <br />24 1�8 <br />I also wish to receive the <br />H <br />■Complete items 3,4a, and 4b. <br />following services (for an <br />H <br />■ Print your name and address on the reverse of this form so that we can return this <br />extra fee): <br />.. <br />;., <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the <br />back if space does not <br />ai <br />1. ❑ Addressee's Address <br />d <br />permit. <br />■ Write"Return Receipt Requested' on the mailpiece below <br />the article number. <br />�- <br />2. ❑ Restricted Delivery N <br />t <br />■The Return Receipt will show to whom the article was <br />delivered. <br />delivered and the date <br />« <br />Consult postmaster for fee. <br />o <br />-aat <br />3. Article Addressed to: <br />4--a77. Article Number <br />!, 10 7 � E <br />4b. Service Type«' <br />TOSCO MARKETING <br />❑ Registered 9--Ertified <br />rrzn�a� rANYON nt AGE--5T-&44W <br />❑ Express Mail ❑ Insured F <br />�B90 - <br />SAN RAMON CA 94583 J <br />sJ�� <br />❑Return Receipt for Merchandise ❑COD W <br />7. Date of Delivery <br />DEC 3 19N <br />o <br />0 <br />5. Received By: (Print Name) <br />8. Addressee's Address (Only if requested-c4 <br />and fee is paid) <br />0 <br />T <br />N <br />or Agent) <br />Q <br />PS Form 3811, December 1994 <br />