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SENDER: COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Sipriatire <br /> item 4 if RAstricted Delivery is desired. ❑Agent <br /> ■ Print your(�s��aq��1d ,q n the reverse X ❑Addressee <br /> so that we��rllret!lrri�th�c�to you. Rec ' d by(Printed Name) C. Da o Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if splice permits. <br /> 1. Article Addressed to: IV D. Is delivery address different from Rem 1? lO Yes <br /> JHJM71101FI�Qrbelow: ❑No <br /> tBRD 1avesu2nts OCT 0 8 2009 <br /> 4315 Waterloo Road �NT HEALTH <br /> Stockton, CA 95215 5Vgress Mail <br /> NOR l7tafum Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7008 1830 0004 8693 7112 <br /> (Transfer from service labeO _ <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A at re <br /> item 4 if Restricted Delivery is desired. [3Agent <br /> ■ Print your e d address on the reverse X ❑Addressee <br /> SO that ttl�1 to you. Received by(Pri ted Name) C. D to of Delivery <br /> ■ Attach this card to the back of the mailpiece, O <br /> or on the front if space permits. MIT iv <br /> D. Is d ? Yes <br /> 1. Article Addressed to: If Y s ow: ❑No <br /> Cathie Norby OCT 0 8 2009 <br /> Waterloo Food Mart ,& Car Wash NT HEALTH <br /> 2303 Woodlake Circle <br /> Lodi, CA 95242 3. Se cel <br /> Certified Mail ❑Express Mail <br /> 4315 Waterloo Rd.—NOR ❑Registered ❑Retum Receipt for Merchandise. <br /> ❑Insured Mail ❑C.O.D. r <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7008 1830 0004 8693 7457 <br /> (Transfer from service lai <br /> Do <br /> PS Form 3811,February 2004 mestic ReturnReceipt 102595-02-M-1540 1 <br /> i ! <br />