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■ Complete items 1,2,and 3.Also complete A. Received by(Please l3fnt C/eaN B. Date of Delivery �' • ' <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse ` <br /> so that we can return the card to you. c.sig t <br /> ■ Attach this card to the back of the malipiece, jj LODE CA;45241 <br /> or on the front if space permits. X � � [/. J ❑ dressee <. <br /> 1. Article Addressed to: <br /> D. Is delivery address different from item 1? ❑Yes m Postage $ $0.34 <br /> If YES,enter delivery address below: E3No a certified Fee $130 40 C <br /> A X 64ttfa,CrVEgL MryNdjU Return Receipt Fee $1,50 Po.vrk <br /> ntN "L- VA"V? WASTE !16"IC- jr2vc tt (Endorsement Required) <br /> �y <br /> o <br /> ® Restricted Delivery Fee $0.40 <br /> ® (Endorsement Required) <br /> Lbs t t G� gS2t{I-a j b 3. Service Type C3 Total Postage&Fees $ $3.74 Q1/17/2401 <br /> ;Kbertifled Mail ❑Express Mail _D Sent To <br /> ❑Registered ❑Return Receipt for Merchandise 1 1 6tA L 1't.4QA4 <br /> -------------- - <br /> ❑Insured Mail ❑C.O.D. o S 1�/}S v6 <br /> 4. Restrkted Delivery? t� �l?,_---G f1�C_.A2 IAN--_---.---- <br /> (Extra Fee) <br /> ❑YeS 0 Ci ,Sfafe,ZIP+4 <br /> 2. Article Number(Copy from service/aBeo r� !?7?I Ch 0,-a i -o50 I <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595.00-M-0952 <br /> UNITED STATES POSTAL SERVICE <br /> -eras ail Certified IViaii Provides: _ <br /> C' SPS Fe Paid M A mailing receipt <br /> ® A unique identifier for your mailpiece <br /> ! Permit N 0 <br /> Is A signature upon delivery <br /> A rec5YgW€,deliver� <br /> • Sender: Please print your name, address, and ZIP+4 in' Is bo�- � <br /> lMPortant Reyrr"7O,,j,,, t by the Postal Service for two years <br /> Certified(Mail f1Y O <br /> 1Y be combined with First-Class Mali or <br /> Certified <br /> �;!]�, Mail is no mailable for an <br /> TAv iU V A /Z82 } NO IN5URANC any class of international mail <br /> (� valuables Q RAGE IS PROVIDED <br /> T♦� QD X 21Oglo please co r Insured with Certifi <br /> For an additional fe or Registered Mail. <br /> �D O C A ^`', 9 delivery.Ta i orn Receipts <br /> Receipt may be re <br /> 1.Al oc`-t °� Receipt(PS Forel Receipt service, I quested to pn <br /> fee'Endor„ • X81 to the article and adds complete and at <br /> J� JAN <br /> bTtarlpic ce"Return Recei t pplicabie postaa duplicate return receipt,a USPS posmaYk on d 'To receive arequired.Fo your Certfedan additional fee, delivery may be restricted to q9 200� addressee,authonzed agent.Advise the clerk or mark the mailp;1 3 U endorsement"F?estr7ctedUeli!er the piff a postmark on the Certified Mail.receipt is desired, leaseOle at theposfoff.e for postniarkin preceipt is not nestled,detach.and affixlabel wihpostage the and r n�- <� w IMPORTANT:Save Irtls receiltt and Pr label <br /> sellit it when and an <br /> PS Foran 3Fs00,fs'y 1000(lieverse) <br /> 10259 <br />