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2301 S. SANTA n ROAD P1! 249-O60--13 <br /> SENDER' I also wts` recetve the , <br /> a :Complete items 1 andfor 2' 'ditional services- following Aces(for an <br /> a► ■Complete items 3.4a.and extra fee): m <br /> d ■Print your name and address un the reverse of this form so that we can return this <br /> card to you- <br /> Attach this roan to the front of the mailpiece.or on the back if space does not 1. ❑ Addressee's Address <br /> a permit. <br /> ■write'Return Receipt Requested on the maifpfece below the article number. 2. ❑ Restricted Delivery G. <br /> o •The Return Receipteceipt Rill show to whom the article was delivered and the date Consult postmaster for fee. <br /> delivered. U <br /> C 4a.Article Number d <br /> V 3.Article Addressed to: Z 228 98$ 997 <br /> .. <br /> d 4b.Service Type <br /> E BILL LANE ❑ Registered ® CartifiedIm <br /> 23125 S. HENRY ROAD ❑ Express Mail ❑ Insured N i <br /> RIVERBANK, CA 9532Q pate of very Merchandise <br /> ❑ COD <br /> 7. <br /> Q t <br /> A <br /> Print Name) <br /> 8.Addressee's Address(Only it requested c <br /> It <br /> 5.Received ey:f and fee is paid) � <br /> s 6.5gniture:(Addressee or Agent) <br /> Domestic Return Receipt <br /> PS Form 3811, December 1994 <br />