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SENDER: COMPLETE THIS SECTION COMPLhTE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sigh re <br /> ■ Print your name and address on the reverse X' ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. ceived by(Printed Name) jte of Delivery <br /> or on the front if space permits. o <br /> 1. Article Addressed to: ¢skv d s afferent from item 1? 11 Yes <br /> If YES,enter delivery address below: ❑No <br /> MAYRA RODRIGUEZ FA0015640 t j- I �._i 2016 <br /> PO BOX 6734 yv� <br /> STOCKTON CA 95206 <br /> Eh FiOVENTA_HEALTH <br /> PRG BLLG 2ND QTR 2016 EMMSERVIGADWI N IT 11-H <br /> RE 2156 S.B STREET,STKN <br /> 1( 3. Service Type ❑Priority Mail Express® <br /> lI"VIII I'll Ill II II l�I II I'I lI i I Ill lI III I lI�Ii0 Adult Signature 11 Registered T <br /> ❑Adult S gnature Restricted Delivery 11 Registered Mail Restricted <br /> ertified Mail® Delivery <br /> 9590 9401 0058 5071 6131 62 0 Certified Mail Restricted Delivery Return Receipt for <br /> ❑Collect on Delivery Werchandise <br /> ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation'"" <br /> 9 Artirle Number(transfer from service label) m i„.,,,..I Mail ❑Signature Confirmation <br /> 7 015 0 6 4 0 0007 1118 7L7 3 O, il Restricted Delivery Restricted Delivery <br /> PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />