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nJ r , <br />CID <br />(Domestic Mail Only, No Insurance Coverage Provided) <br />Ln <br />For delivery Information visit our website at www.usps.coma,M <br />M <br />CID <br />M Postage $ <br />MCertified Fee +� <br />� Postmark <br />Return Receipt FeeCD „ Here <br />(Endorsement Required) <br />O Restricted Delivery Fee <br />r\- (Endorsement Required) <br />M Total P, COLLEGEVILLE MARKET & CAFE <br />r7 Sent To ATTN: PHILLIP MATHEWS <br />ra <br />ED --------- 13521 E MARIPOSA RD ------- <br />r- Street,'64 <br />orPOBcSTOCKTON CA 95215-9683 <br />City, Stat RE: 13521 E MARIPOSA RD - AST RTN- SR <br />PS Form :rr August 2006 See Reverse for Instructions <br />■ Complete items 1, 2, and 3. Alsip 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 yop. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />COLLEGEVILLE MARKET & CAFE { <br />ATTN: PHILLIP MATHEWS <br />13521 E MARIPOSA RD <br />STOCKTON CA 95215-9683 <br />RE13521 E MARIPOSA RD -AST RTN SF <br />A. Signature L� <br />X /.ISL:Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />II-9/ol <br />D. Is delivery, address different ]�* V <br />If YES, enter delivery addr s ow <br />DEC, 0 1 2011 <br />3. Service Type `M ti;; ' _N'aL HEAL <br />>eCertified Mail ❑ express jMIT/SEriVIC"_S <br />U Reg ;tared ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7011 0470 0003 3833 5782 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />