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SECTIONSENDER: COMPLETE THIS SECTION COMPLET15 THIS DELIVERY <br /> Compiete items 1,2, and 3.Also complete A. Si <br /> ❑AgF <br /> Am 4 if fir till ed 0411M is desired, X <br /> ■ print your name and address Of VId CeversO C. Dat of <br /> so that we Can return the card to you. . R ived b,(Pn ed Name) <br /> ■ ,Attach this card to the back of the nailpiece, <br /> or on the front if space permits. D Is del ery ad ress different from item e! <br /> 1, Article Addressed to: if YES,enter delivery address below: <br /> 0 Nc <br /> COSTCO GASOLINE FAC ##658 <br /> 3250 W GRANT LINE RD <br /> TRACY CA 95377 s. Service Type <br /> 0 Certifled Mail ❑Express Mail <br /> ❑Registered fl Return Receipt for <br /> p Insured Mail ❑ C o.D. <br /> 4. Restricted Delivery?(Extra Fee) <br /> 2. Article Number - - 7004 251.0 0003 3789 0306 <br /> (Transfer from service label) <br /> _ _ o Q i i eoF ri iary 2004 Domestic Return Receipt <br />