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d SEN <br /> •Com to ems and/or 2 for additional services <br /> a: •Complete items 3,4a,and 4b. I (so Wish t0 receive the <br /> m •Print your name and rens on the reverse of: following services(for an <br /> cartl to you. o�//th��at we can return this extra fang r a, <br /> II •Attach this toren to he � .-�I PR 1 9 iJJ7 <br /> f I or n e bacpace does not LJ 5 AOdr <br /> percnrt' 1. Addre see's ass <br /> d •Wnte'Rerum Receip us red' tTie rnaBpiece below t e article number. Z <br /> •The Return Receipt will show to whom the article was deliveretl antl the date <br /> 2. 0 Restricted Delivery y <br /> C delivered. <br /> ° Consult postmaster for fee. a <br /> 3.Article Addressed to: 4a.Article Nu <br /> C THOMAS M S CORRINNE NICOLAS T2' '�7V - ° <br /> 3111 WAYNESBORO CT 4b.Service Type <br /> 5 <br /> STOCKTON CA 0 Registered ^' <br /> u 95219 Certified ¢ <br /> ❑ Express Mail Insured C <br /> C <br /> p 0 Retum Receipt for Merchandise 0 COD <br /> 7.Date of Delivery o <br /> Z _ 3 zz <br /> .Received By:(Pont Nam9) a°. <br /> 8.Addressee' A dress(Only if requested <br /> and fee is p i m <br /> g K 6.Signature: (Addreasee or Agent) I� 1 <br /> a <br /> PS Form 3811, December 1994 D mestic Return Receipt <br /> N6y <br /> N p (T)N FV Cr)r �L a r <br /> Ln to <br /> u £ C7 n <br /> > t <br /> Oop ppG d Q X m ^ <br /> U SE E'O <br /> m <br /> N 61 c u 5661 uuod <br /> I!�dV 008£ Sd <br /> t+1 <br />