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Postal <br /> -0 CERTIFIED MAILM RECEIPT <br /> Ln (Domestic Mail Only, . • .•. <br /> ni <br /> a <br /> M <br /> a <br /> D— Postage $ <br /> M Certified Fee <br /> O Postmark <br /> E3 Return Receipt Fee <br /> O (Endorsement Required) Here <br /> Restricted Delivery Fee <br /> (Endorsement A—dr-fi <br /> r` ATTN RAYMOND LOPEZ <br /> ti Total Pos, CALIFORNIA STATE BUILDING <br /> ra sent To 31 E CHANNEL ST 4108 <br /> CJ Sfreef,Apt: STOCKTON CA 95202 ----- <br /> or PO Box) <br /> PS Form <br /> :ri August 2006 See Reverse for Instructio <br /> COMPLETEra <br /> 1N COMPLETE THIS SECTIONON DELIVERY <br /> ■ CompleM Items 12p Wel.ME6&plete A. Signatu <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. eceived by(Printed Name,) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, ^ 1 <br /> or on the front if space permits. 1 <br /> D. Is del' Yes <br /> 1. Article Addressed to: If YES, ft <br /> s No <br /> ATTN RAYMOND LOPEZ <br /> CALIFORNIA STATE BUILDING (A- 2 4 ?012 <br /> 31 E CHANNEL ST#108 <br /> STOCKTON CA 95202 <br /> 3. Service'461ert y�Mr <br /> Certified Mail r(+ pMM <br /> it <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7011 2970 0003 9133 1256 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />