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■ Complete items 1, 2, and <br />3.. rATlsto complete A. Signa <br />item 4 if Restrictedtl2 iBTtUe❑ Agent <br />■Print your 55 n desired. Verse X 0 Addressee <br />so that we ca o R. Received by (Panted Name C. Date of Delivery <br />■ Attach this o ck ilpiece, t f= " <br />or on the front if space permits. SS f - _ <br />D. Is delivery address different from item 1? 0 Yes <br />1. Article Addressed to: If YES, enter delivery address below: 0 No <br />SAFEWAY FUEL CENTER <br />6425 PACIFIC AVE <br />STOCKTON CA 95207 <br />3. Service Type <br />X Certified Mall <br />0 Express Mail <br />0 Registered <br />0 Return Receipt for Merchandise <br />0 Insured Mall <br />0 C.O.D. <br />4. Restricted Delivery? (Extra Feel 0 Yes <br />2. Article Number 7004 2510 0003 3789 1105 <br />(rians/er /rom service fabelJ <br />Ps Form 3811, February 2004 Domestic Return Receipt 102se5-02-M-1540 <br />