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COMPLETE .N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if a d. �. �� ,�, ❑Agent <br /> ■ Print o dre t reverse X - J ❑Addressee <br /> Y <br /> so that n he� u B. Received b Printed Name <br /> ■ Attach this card to the back of the mall iece, -� y ) • Dat of Delivery <br /> or on the front if space permits. p kvi A, <br /> c�+ U7-W r V �� � <br /> 1. Article Addressed to: <br /> D. Is delivery a dress different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> SAFEWAY INC <br /> PO BOX 29096 <br /> PHOENIX AZ 850389096 3. Service Type <br /> Certified Mail ❑Express Mail <br /> Registered ❑Return Receipt for Merchandise <br /> [] Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> ( 7004 2510 0003 3789 3123 <br /> Transfer from service label) .. <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> Postal <br /> m <br /> rCERTIFIED MAIL,, RECEIPTu <br /> r"11 (Domestic Mail . Provided) <br /> M <br /> Er <br /> caN <br /> C , L • <br /> rn Postage $ <br /> M <br /> E3 Certified Fee <br /> E3 Postmark <br /> C3 Retum Receipt Fee Here <br /> (Endorsement Required) <br /> Restricted Delivery Fee <br /> r-9 (Endorsement Required) <br /> Ln <br /> r u 0, <br /> Total Postage- <br /> SAFEWAY INC <br /> M Sent To <br /> o PO BOX 29096 <br /> or PO Box`o PHOENIX AZ 850389096 <br /> 4Chit&k iii stere,ziP <br />