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SENDER:SQM <br />14 Pvc--,�X. ir <br />13 0 Complete items &or i;dditional services. D,> e <br />N complete items 3, d 4b. <br />ry 0 Print your name Al, ass on the reverse of this form so that we <br />card to you. <br />W Attach this form to the front of the mailpiece, or on the back if space <br />permit. <br />W sWrjjq,,R m Receipt Requested' on the mailpiece below the article <br />sThe Return Receipt will show to whom the article was delivered and <br />C delivered. <br />3. Article Addressed to: <br />o I WMB <br />ATT,YIIKE KEEFER <br />8800'64L,CENTER DR <br />W <br />SACRAMENTO 0 - CA 95826 <br />5 5. Received By: (Print Name) <br />6. Signature: (Addressed or Agent) <br />X <br />AAA A.4 <br />j! PS Fom:3811, December 1994 <br />1Z- <br />at <br />wish to receive the <br />Lse <br />f ng services (for an <br />, <br />can return this. <br />extra fee): <br />does not <br />1. 0 Addressee's Address <br />number. <br />2. 11 Restricted Delivery <br />the date <br />Consult postmaster for fee. <br />4a. Article Number <br />:z 966? 964 <br />C <br />4b. Service Type <br />• Registered Certified <br />;K <br />1z <br />• Express Mail 0 Insured <br />❑ Retum Receipt for Merchandise [I COD <br />7 !lata of nalivani <br />0 <br />_$- I L -2A.2 <br />Addressee's Address (Only if requested <br />and fee is paid) <br />