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■ Complete items 1, 2, and 3. Also complete <br />item 4 i *to <br />v esired. <br />■ Print y rTdddUn the reverse <br />so thatho you. <br />■ Attach t the back of the mailpiece, <br />or on the front if space permits. <br />A. <br />❑ Agent <br />X ' essee <br />B. Received by ( Printed Name) @@t elivery <br />V9 <br />livery address different f item 1? 11 Yes <br />S, enter delivery address below: ❑ No <br />ENVIRONMENTAL FILTRATION TRUST <br />136 WELLSFORD AVENUE <br />MODESTO CA 95357 <br />pe <br />Certifieded <br />Mail <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Nurr' <br />(Transferfrc 7001 2510 0005 9632 3808 <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-103: <br />