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;; SENDER: <br /> r,A � �� NOTT�'TCAfiT <br /> v •Complete ite f also wish to receive the <br /> in ■Complete items 3,4a,and 4b. following services-(for an" <br /> m APrint your name and address on the reverse of this form so that we can return this eXtra fee): <br /> card to you. a� <br /> ■'Attach this form to the front of the mailpiece,or on the back if space does not f, ❑ Addressee's Address Z <br /> m <br /> y yrite'Retum Receipt Requested'on the mailpiece below the article number. 2.❑ Restricted Delivery N <br /> ■The Return Receipt will show to whom the article was delivered and the date ., <br /> C <br /> delivered. Consult postmaster for fee. <br /> 3.Article Addressed to: 4a.Article Number d <br /> Z 178 079 864 <br /> C.I.W.M.B. � I <br /> B ATTN MIKE KEFFER 4b.Service Type m <br /> P & I BRANCH ❑ Registered Certified 01 <br /> 8800 CAL CENTER DR ❑ Express Mail ❑ Insured a <br /> SACRAMENTO CA 95826 ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Defl of Delivery <br /> t o' <br /> 5.Received By:(Print Name) 8.Addressee's Address(Only if requested c <br /> and fee is paid) t <br /> 9 6.Signatur --- - - - — <br /> yl till sit 111111tiM It It If 1411 if 1t 1t 1I 11111lilt "1111lt i fill 111f t111 <br /> PS FormAt <br />