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• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />-Po~"nc~- M0.SGn <br />~o,x,~ar , CA ~io52 <br />A. Received (P s P ' f Clearly) B. Date of Delivery <br />Z~ZO~~ <br />X Sgnature <br />~U! IV^~ ^ Agent <br />^ Adtlrassee <br />D. is delivery address if/erent fmm rtem 7? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Serylce Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? /Extra Fee) ^ yes <br />2 Article Number (Copy from service IabelJ <br />PS Form 3811, July 1999 Domestic Return Receipt 10259599-M-1]99 <br />l <br />US Postal Service <br />~leceipt for Certd ~ <br />o Insurance Coverage Pro ~. <br />f I t lional Mail ? e <br />C <br />C <br />c <br />C <br />i <br />i <br />C <br />-.~ P 436 784 ~66 <br /> o not use or n ema <br /> ~M <br /> ~."~'°' ter Sr. <br /> Po5 Ot6ce. Stale, 8 ZIP <br /> Passage GJ1 ^~/~ <br />,, _ Cer6rietl Fee ~ `~ ~ . , .~ 9 O <br /> Spedal Delius Fe <br />~, ~ <br />v <br />RestrtcleO DeG <br />ZOg <br />m <br />~ <br />Retum Receipt Showing to <br />Wlwm 8 Data Delivered <br />/ . r°-~ <br />7 <br /> Reeim Recept 5hoesq to YAiorri, <br />S Daro, 6 MAesee's Adiress <br />D <br />D <br />r TOTAL Postage 6 Fees $ ~~ . 7 <br /> PostmaAc or Gate ^ <br /> <br />