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F' 436 7919 <br />~. (:o <br />US Postal Service 00 <br />Receipt for Ceretf~u~j1~ 00 <br />1 No Insurance Coverage Pro O <br />^n rent a<o (nr InmmaKnnal efnf a1 <br />g.,n rn ~' <br />Amwest Surety Insurance Comps <br />S P.O. Box 4500 j <br />Woodland Hills, CA 91365-4500 ~ <br />Pose +nnw,~mo, ,. ~., ____ Q <br />Pc}~age § ~ <br /> fV <br /> <br />Cenifietl Fee <br /> ~ <br />Spedal Delivery Fee vE <br />Resfn'aed Relive ~ Cp ~ <br />E <br />Retum Receipt ~ g to o <br />~ <br />WhornB Date L <br />Realm Receipt ~ <br />Date, 6 PDSessee's C7 <br /> <br />TOTAL POStaged Fees <br />.fig r <br />~ <br />r <br />Posbnerk or Date ' <br />a <br />rn <br />`o <br />Q <br />LL <br />a <br />r <br />SENDER: <br />• Complete rtema 1 anNOr 21or aatlNOnal sarvigs ~ <br />• Complete flame 3. Ii, eM fib. <br />•Pnnf your name antl aodress on the reverse of this loan so that we can return Ihis <br />cartl to you <br />~ • Attach this term to the Iront o1 the mailpiece. or on Ina back it space tloes not <br />= perms <br />• W nle 'Rerurn Recerpf Requesfed'on the mailpiece oelow the amde number. <br />• The Return RecE~pt wet show to wham the art¢le was tleliveretl antl the tlale <br />tleliveretl <br />z~ 3. Article Addressed lo: 4a. AIrt'icle <br />g j 4b. Servict <br />~" C <br />I also wish to receive the <br />follga+ing services (for an <br />extra lee): <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consult postmaster for tee. <br />Amwest Surety Insurance ompany , <br />ii P.O. Boz 4500 ~ ~ ^ Registered ~ Certtlied <br />Woodland Hills, CA 91365-4500 +, ^ Express Mail ^ Insured <br />- ^ Return Receipt for Merchandise ^ COD <br />7. Date of Qi/~tve/rte/, <br />C / <br />5. Received By. /Pnnf Name) R. Addressee's Address (Only it requested <br />and lee rs paid) <br />6. Signature: (Addressee J <br />~ X <br />T <br />'" PS Form 3811, December Y994 +cesas-seaone Domestic Return Receipt <br />Y <br />Z <br />c <br />O <br />C <br />