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_ M— <br />• ON <br />■ Complete item , and 3. Also complete <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. <br />j ■ Attach this card to the back of the mailpiece, <br />j or on the front if space permits. <br />1. Article Addressed to: <br />I <br />j HELEN MCANALLY <br />22865 S HENRY RD <br />A. Received by (PIIlWrint Clearly) I B. Date of Delivery <br />C. Signature <br />❑ Agent <br />X ❑ Addressee <br />D. Is delivery address different from item 1? <br />❑ Yes <br />If Yl,�7 7rdrAss.Iw: <br />V * <br />11No <br />11 SEP 082003 <br />ESCALON CA 95320-9685 3. sev� e)Y E�IT�fes�JN19A <br />❑ Ce1.����Tt���'FFR cc <br />❑ Regis�ierA� 5 �yeceipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />i <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7001 2 510 0005 9632 2993 <br />PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-1424 <br />