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1+,2 <br /> s <br /> SENDER: &A)/ t I&J'"rI also wish to receive the <br /> follow- <br /> H o Complete items t and/or 2 for additional services.(-3q-/+A ing services(for an extra fee): <br /> m Complete items 3,4a,and 4b. /J <br /> O Print your name and address on the reverse of this form so that we can return this ai <br /> > card to you. t• ❑ Addressee's Address <br /> ` ❑Attach this form to the front of the mailpiece,or on the back if space does not i! <br /> m -permit. 2. ❑ Restricted Delivery <br /> Y 13 Write'Rel%m Receipt Requested'on the mailpiece below the article number. <br /> O The Return.Receipt will show to whom the article was delivered and the date _ d <br /> p delivered. m <br /> 3.Article Addressed to: IA. eNi,li ni,,..k— <br /> a CIWMB 7001 2510 0005 9632 0999 ` <br /> E 4b.Service Type m <br /> ATTN KEITH KENNEDY MS#15 ❑ Registered ertified <br /> rn <br /> co <br /> LU 10 01 I ST ❑ Express Mail ❑Insured <br /> IM PO BOX 4025 ❑Return Receipt for Merchandise ❑COD <br /> 93 <br /> Q SACRAMENTO CA 95814-4025 7•Date o!,.999e <br /> 0 <br /> 5.Received By: (Print Name 8.Add r F` 's Ad f.Q3( ly i requested and c <br /> fee is '} t <br /> c 6.Signatu (A r e <br /> a. _.._.. <br /> y <br /> PS Form 3811, ecember 1 102595-99-B-0223 Domestic Return Receipt <br />