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a),0 SENDER: 6r a — CQ toy 07— L 4-r— <br /> + I also wish to receive the follow- <br /> 'Faa Complete items 1 and/or 2�for additional services. deA ing services(for an extra fee): <br /> 0 C&,Iplete items 3,4a,and 4b. <br /> 2 13 Pe'N your name and address on the reverse of this form so that we can return this qj <br /> g card to you. I- 0 Addressee's Address 2 <br /> W 0 Attach this form to the front of the mailpiece,or on the back if space does not <br /> permit. 2. El Restricted Delivery <br /> 0 Write'Return Receipt Requested"on the mailpiece below the article number. <br /> a The Return Receipt will show to whom the article was delivered and the date 2L <br /> delivered. Qy <br /> 3.Article Aridrpqcarl t-- <br /> CIWMB, 7001 2510 0005 9632 2085 <br /> ATTN KEITH KENNEE p7ice Type <br /> PERMITTING &ENFORC gistered ACertified <br /> Express Mail 0 Insured E <br /> PO BOX 4025 0 W <br /> 2002 ReturnReceipt for Merchandise EICOD <br /> SACRAMENTO CA 9581J#5 1 <br /> Date of Delivery 0 <br /> ENVIRONMENT HEA LTH 0 <br /> 5.Re Addressee's Address(0hty ifrequeVed and <br /> fee is paid) <br /> 6.Signature(AddjW <br /> 0 091"M L L <br /> :I. <br /> 2 PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt <br />