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(DomesticCERTIFIED MAIL RECEIPT <br /> . Coverage Provided) <br /> Q <br /> ru <br /> M117 <br /> ' <br /> Postage $ <br /> J] <br /> ,7- Certified Fee ISABEL SMITH SUPPORT SERVI <br /> M Return Receipt Fee KAISER PERMANENTE <br /> E3 (Endorsement Required) 721 W YOSEMITE AVE <br /> C3 Restricted Delivery Fee <br /> M (Endorsement Required) MANTECA CA 95337 <br /> 1-3 <br /> r- Total Postage&Fees I Zp <br /> .-n <br /> r-a Recipients Name(Please Print Clearly)(to be completed by mailer) <br /> d Street,Apt.No.;or PO Box No. <br /> C3 <br /> O -------------------- ----------------------------------- <br /> Ctty,State,ZIP+4 <br />( 2000 <br /> See Reverse for lnstructi,,-,, <br />