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P 379 765 906 <br /> NAT 1 3 W_ <br /> FRM, RICK U1Tf',,Y RTH <br /> 430 AS9,-OOD CT <br /> YoNrECA CA 95336 <br /> SEN - <br /> V ■Compete items t and/or 2 for additional s ces. /) I also wish to receive the <br /> rn ■Complete items 3,4a.and 4b. �/ - following services=for an <br /> ■Print your name and address on there this form so th w can return 'is extra fe <br /> N card to you. noe�f� f <br /> } Attach this Corm to the front of the m I ie 1. ❑ CeSsee's Address <br /> P permit. <br /> y ■Write'Return Recelpf Requested'on the mailpiece below the article number. 2 © RBstrlcted Delivery Vy <br /> ■The Retum Receipt will show to whom the article was delivered and the date . <br /> o <br /> delivered Consult postmaster for fee. a <br /> a 3.Article Addressed to: 4 rti le umber u <br /> CL _ <br /> E FP. ETaPUCK I' A URUI 4b.Service Type <br /> 430 ASER I) CrE ❑ Registered Certified Ir <br /> cn <br /> MiECA CA 95336 ❑ Express Mail ❑ Insured 5 <br /> p ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery ° <br /> ir <br /> F 5. Received By: (Print Name) 8.Addressee's A ress{Only if requested <br /> and fee is pai <br /> 6.Signature: (AddressipeorAgepl}, ~ <br /> PS Form 3811,~December 1994 0 I estic Return Receipt <br />