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P E19 Lq 9q'i 9q' 7 L, <br /> FREDRICK WENTWORrIH. <br /> 430 ASHWOOD CT <br /> �IANTECA CA 95336 <br /> . 29 <br /> 1 . 00 <br /> I . 00 <br /> 2 . 29 <br /> SENO.E I also wish to receive the <br /> N • Complete items"l and/or 2 for add i al services. followingser'4-es {fC, an extra V <br /> • Complete items 3,and 4a&b. <br /> 2 • Print your name and address on the reverse of this form so that we can <br /> 7 <br /> ce, or on the back it space return this card to you. 1, �] Addressee's Address <br /> m • Attach this form to the front of the mailpie •+ <br /> does not permit. <br /> • Write"Return Receipt Requested"on the mailpiece below the article number. 2, F] Restricted Delivery <br /> •' • The Return Receipt will show to whom She article was delivered and the dace Consult postmaster for fee. tY <br /> C delivered. <br /> 4a. Article Number � <br /> 3. Article Addressed to: P 298 999 786 �3 <br /> FREDRICK WENTWORTH m <br /> 4b. Service Type OG <br /> 430 ASHWOOD CT ❑ Registered ❑ insured <br /> � c <br /> MANTECA CA 9 5 3 3 6 {Certified ❑ COD <br /> V1 Return Receipt for <br /> Vj <br /> El Express Mail Merchandise <br /> Uj o <br /> 1. Date of Deliver s "" <br /> O - C o <br /> a <br /> Signature (Addressee/ 8. Addressee's dress(Only if reque ted C <br /> a c <br /> and fee is ai m <br /> s <br /> H � <br /> 6, Signature (Agent) <br /> �°- PS f=orm 11, December 1991 *u.s.apo:toez3 DOMESTIC RETURN RECEIPT <br /> V7 <br />