Laserfiche WebLink
Postal <br /> CERTIFIED <br /> (DomesticOnly; <br /> OFFICIALFor delivery Information visit our website at www.usps.come <br /> rl <br /> Postage $ <br /> co <br /> O Certified Fee O <br /> Postmark <br /> Return Receipt Fee Here <br /> r-3 (Endorsement Required) <br /> 0 <br /> Restricted Delivery Fee <br /> (Endorsement Required) <br /> Ur1 <br /> E3 Total P FLAG CITY CHEVRON <br /> m sertTo ATTN: HALEH AMIRI <br /> C3 Sfreet,A 6421 CAPITOL AVE <br /> C3 <br /> �. -Poe' LODI CA 95242-9500 <br /> crry,sra ......... <br /> RE.6421 CAPITOL AVE RTN AC <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1, 3 I o c miet A. rture <br /> item 4 if RestrictedDe e s desi dsi X _ ` f ❑Agent <br /> ■ ?rint your name acid address on the rever 1, ❑Addressee <br /> so that we can return the card to you:— B. Received by(Printed Name) C. Da Mg livery <br /> ■ Attach this card to the back of the mailpiece, ��f�i1 I� <br /> or on the front if space permits. <br /> D. Is elivery ress fienerit rom it6m 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> U <br /> FLAG CITY CHEVRON <br /> ATTN: HALER AMIRI NIV RONt°-,IEN I `IEALI'H <br /> 6421 CAPITOL AVE <br /> 3. Service Type <br /> LODI CA 95242-9500 <br /> ertified Mail ❑Express Mail <br /> RE:6421 CAPrroL AVE RIN AC Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7008 015 0 0000 8115 7179 <br /> (Transfer from service label) <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />