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P 868 541 129 <br /> �Cenified Mail Receipt <br /> No Insumnce Coverage Provided <br /> �e Oo not use lor Imrsrnalional Mail <br /> °.;;,; (See Reverse) <br /> .v�;o <br /> / 5 <br /> , <br /> �.�,���Ir��77� _ <br /> Svem 8 No <br /> J <br /> ��0 �' ---�J,t�,f S� <br /> PO 5'afe 8 ZIP Coac <br /> ; . � GC ''� . Gj✓�C/ <br /> :� �' �� <br /> Postago � <br /> � <br /> .,J Cenmea Pon <br /> .v <br /> SOecial Delivery Fee <br /> \ <br /> -v Reslricle�Oelivery Fee <br /> � � �� «ti�� <br /> �o Rmum fle<oipt Snomn9 . , S d'� '3� <br /> �m �o W�om 6�atg Oeilmied '�eiKi ���,s3� <br /> � m <br /> � Rewm Receipl Snwving Io Wnom, <br /> � Dalq 6 MEress ol peM1vcry .;`y <br /> � <br /> � IOTaL Posiage � ' . . � " .,�i_ <br /> p d Fces <br /> m (�OS;RIdlk Of�d�C <br /> m <br /> E � <br /> LL /� <br /> N <br /> a <br /> SENDER: <br /> • Complete items 1 and'or 2 tor additional services. I also wish to receive the <br /> • Completc items 3, and 4a & b. lollowing services (for an extra <br /> • Print your name ar,^, address on the reverse of this (orm so <br /> tha[ we can reWm this card to yuu. �ee1: <br /> • Attach ihis form [o ihe (ront of the mailpiece, or on the �� � Addresseo's Address <br /> back if space dnns not permit. <br /> • Write "fle[urn Receip[ flequested" on Ihe mailpiece nezt to z� � Restricted Delivery <br /> the article nurnber. <br /> 3. Article Addressed [o: ConsW[ ostmaster for fee. <br /> 4a. Artictc Num6er <br /> TEIOMAS AND PAMELA PfCKE& 4bPSarv$ice$7yp—Se�Z9 <br /> 12�3 33RD ST. I � Registered ❑ Insured <br /> �VERETT� WA 982pj �Certilied ❑ COD <br /> ❑ Express Mail ❑ Retum Receipt (ar <br /> Merchandise <br /> 7. Date or Delivery <br /> � �.i 1._ � ' �. <br /> Iu ddressee) R' 8. Addressee's Address(Only i(requested <br /> and fec is paid) <br /> 6 Signawre �Agenti <br /> PS Form 3811, ocmbe� 7990 pp.S.GP0:1990—p)3861 DOMES"fIC RE7URN RECEIPT <br />� <br />