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i -0 CERTIFIED MAIL. RECEIPT <br /> cr RECEIPT CERTIFIED MAIL. N insurance Coverage Provided) <br /> (Domestic <br /> Only; N <br /> (Domestic Mail OWY;NO <br /> ruR <br /> s m :. LL E, <br /> a <br /> ra m Postage $ <br /> m Postage $ m <br /> Cenitied Fee <br /> m Certilietl Fee MO POetrnBrk <br /> O postmark Re <br /> Reclapt Fee ` FMN <br /> ED Return Reciept Fee Here (Endorsement Required) <br /> (Endorsemer+Regwred) <br /> ResMcted Delivery Fee <br /> cl Restricted Delivery Fee .L fEndomement Required) <br /> -a (Endorseme,Regwred) N <br /> N N Total Postage&Fees <br /> N Total Postage&Fees <br /> rn o p FSent p OWW-1w;----- azNa. Cal, NLn «jM1 Street,APL No.: ------------------orPO aox No. X7 1 /�••"- - ---- ------------------------•-_ _.._.._.____..___.________________________________.__...__.... ere.-Z-IP-+--4 `� <br /> -.__._.--•---•----•----•---••--' / llo v&`f/ra <br /> City,Stet¢,LP+4 <br /> 9 Form 3800.June 2002 <br /> See Reverse for lnst,.cti.ns <br /> m � ' <br /> rrLi •• e <br /> rR OF <br /> a <br /> m po. $ <br /> m � <br /> C3 Cenp-��n Postmark <br /> C3Return R 7'A Fee Now <br /> ED (Endorsement..squired) <br /> O Restricted Delt"N Fee <br /> -0 (Endorsement Regmrad) <br /> N <br /> N Total Postage&Fees $ <br /> m0 Sent To W,{)y (t8.nft'A0 <br /> I� ........................................n................. <br /> r'� $iieet Apr'No.;•............. �c <br /> or POeoxNo. 4C(0-10 ..-�Q.�-----F........................... <br /> -_.............. p,J <br /> CiN•Sete,ZIP+4 L.f-��>� <br /> tete A. Signa re 0 Addre <br /> Agent <br /> ■ Complete items 1,2,and 3.Also comp , �J ❑Addressee <br /> item 4 if Restricted Delivery is desired. �— <br /> Received by(printed Name) ^ � ate f Delivery <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. 13 Ys <br /> ■ Attach this card to the back of the mailpiece, - - 7 <br /> �- <br /> or on the front if space permits. D. Is If YE � r da' ;�d�pelow: ❑No <br /> 1. Article Addressed to: <br /> Ft a <3 1 1uu5 <br /> MARK RAN1Uo EiJVIFt�=l;;nk;yi HEALTH <br /> COUNTRY MARKETPLACE s S„rvice vbe' <br /> ST Oertlfled Mail ❑Express Mail <br /> 621 NINTH A 9 5 3 5 4 ❑Registered c3 Return Raceipt for Me chandise <br /> MODESTO CA 0InsuredMail ❑C.O.D. <br /> 4. Restricted DelivarY?(Extra Fee) <br /> E3 Yes <br /> 2, Article Number 7003 226❑ 0003 3186 1226 102594-02-M-15401 ' <br /> (rransfer/nem service le Domestic Return Receipt - <br /> pS Form 3811,February 2004 <br />