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N <br />SENDEW <br />I also wish to receive the follow - <br />[3 Complete items 1 and/or 2 for additional services. <br />irld services (for an extra fee): <br />Complete items 3, 4a, and 4b. <br />[3 Print your name and address on the reverse of this form so that we can return this <br />,p4rd to you. <br />1. 0 Addressee's Address <br />[3 Attach this form to the front of the mailpiece, or on the back if space does not <br />-Permit. <br />2. D Restricted Delivery <br />GVMte 'Return 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 <br />delivered. <br />3. Article Addressed to: <br />4a. Article Number <br />RICHARD MILLER <br />196 TIFFANY CIRCLE <br />RIPON CA 95366 <br />5. Received By: (Print <br />J. <br />Form 3811, December 1994 <br />4D. service i ype <br />0 Registered Certified <br />El Express Mail Dinsured <br />El Return Receipt for Merchandise El COD <br />7. Date of Delivery <br />8. Addressee's Address (Only ifrequested and <br />I fee is paid) <br />