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d FIENDE <br /> v Y8 e!' 1 also wish to receive the follow- <br /> H ❑Comp<ste items 1 and/or 2 for additional services. 2 ,/ ing services(for an extra fee): <br /> 0 Complete items 3,4a,and 4b. <br /> O Print your name and address on the reverse of this form so that we can return this <br /> > card to you. 1• ❑Addressee's Address '�' <br /> d ❑Attach this form to the front of the mailpiece,or on the back if space does not <br /> m permit. 2• ElRestricted Delivery <br /> r ❑Write'Return Receipt Requested'on the mailpiece below the article number. <br /> The Return Receipt will show to whom the article was delivered and the date - a <br /> O delivered. —y <br /> 13311; .Article Addressed to: 4a.Article Number d <br /> M <br /> CIwMB <br /> Z 4.�0 9 y� 7 yv °` <br /> 0 ATTN KEITH KENNEDY MS#15 4b.Service Type <br /> C3 Registered <CCertified <br /> 1001 I ST ❑Express M ' r�p InsuredIm <br /> E <br /> w �_ _ <br /> °C PO BOX 4025 ❑Return Re I + �' OD <br /> SACRAMENTO CA 95814-4025 7.Date of <br /> aw c <br /> ¢ <br /> 5.Received rint Na 8.Addresse A%reAMP n/ re uested and e <br /> fee is paid) t <br /> 8s� f- <br /> c .6.SigWdre(A dre a or Agent) _ <br /> ' "A RY ROBBI <br /> PS Form 3811,December 1994 102595-99-e-0223 Domestic Return Receipt <br />