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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2 and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse 13 Addressee <br /> so that we can return the card to you. g, a ive b**0rintfdame) C.Pate of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. t ,� / ZZ <br /> D. Is d6livery address differeht from item 1? ❑ es <br /> 1. Article Addressed to: If YES, El No <br /> UNIT II-H Re` IVIED <br /> MAYRA RODRIGUEA FA0015640 FEB 0 2 2016 <br /> PO BOX 6734 <br /> STOCKTON CA 95206 3. Service WHONMENTAL HEALTH <br /> ertified WIRMQY$�i tNAI t Express7" <br /> PRG BLLG 4T"QTR 2015 ❑Registered 'b%qeturn Receipt for Merchandise <br /> RE 2156 S.B STREET,STKN ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0004 7741 8444 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />