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postal <br />r� CERTIFIED <br />�- Coverage Provided) <br />O(DomesticNo <br />In <br />ru . n <br />117 <br />[ti <br />rrt Postale $ <br />f7l Certified Fee <br />CMD <br />Postmark <br />Retum Receipt Fee <br />Here <br />(Endorsement Required) <br />0 Restricted Delivery Fee <br />rl (Endorsement ReQuiredl <br />ru Tom TRACY GET N GO MART - <br />-1- 574 W GRANT LINE RD <br />M n<Ta TRACY CA 95376 •------ <br />or PO E <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 I�jeri�ttl liv��11' fired. <br />■ Print y ur'nf�rilie an add S r1he reverse <br />so that'd oaMl r*u th to <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />TRACY GET N GO MART <br />574 W GRANT LINE RD <br />TRACY CA 95376 <br />2. Article Number <br />(transfer• from service IL3tid1� t l r! 1 I i, r t 1 iii j! - <br />PS Form 3811, February 2004 <br />D. Is delivery address ci tterent ,rui i i - , — <br />If YES, enter delivery address below: ❑ No <br />3. Service type <br />Certified Mail [I Express Mail <br />❑ El Return Receipt for Merchandise <br />❑ Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />10 0003 3789 2041 <br />0 Yes <br />102595-02-M-1540 <br />