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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature - <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that%UCT rjr ZD- d to you. R. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach t rd fie bk`tbf the mailpiece, <br /> or on the front if space permits. ' TM - <br /> D.is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> C W DAVIS 3. Sgrvice Type <br /> 5540 N GRANT STREET S30 .70 Certified Mail 11 Express Mail <br /> STOCKTON CA 955202 ///❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7D02 2D30 0001 7624 6587 - T <br /> (rrticl e N robrom se ry V <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 <br />