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■Complete items 1, 2, and 3. Also complete <br />A. Signature <br />j <br />❑ Agent <br />item A it 8010ctsd Delivery is desired. <br />J <br />[3 Addressee <br />■Print your nae and address on the reverse <br />m <br />return the card to you. <br />e I Prin Name C. <br />of D very <br />L7 , , <br />rq <br />ru <br />so that we can <br />■ Attach this Pard to the back of the maiipiece, <br />17 <br />0 Yeo <br />or on the front ifs ace permits. <br />p <br />" ;'� fA' <br />D I d <br />If'YES, eenterr delive Cry�.addretss below: <br />0i� <br />p No <br />fmYl <br />1. ArticleArd ressedto: !� <br />4#�`,. APR �+ •• <br />� <br />Mr. Joseph & Ms. Rosanna Panetta <br />NV�DiiN i NEALTH <br />C3 <br />PO Box 1472 <br />C' San Ramon, CA 94583 <br />3.�&:'tgiede Type <br />d Mail ❑ Express MailLn 95 W. Eleventh —NFA <br />- ..— <br />_ ❑Registered ❑ Retum Receipt for Merchandise <br />- -- — – -- p Insured Mail ❑ C.O.D. <br />4.:Restricted Deiivery7 (Ext <br />Fee) ❑ Yes <br />O -t <br />0 70q9 225CI 31](31 ' 833' . 2178 <br />r`2. Article Number �' <br />540 <br />(Transfer from servi � 102595-�-M't <br />Return Receipt <br />P. Form 3811, <br />February 2004 Domestic <br />