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r Postal <br /> r RECEIPT <br /> ?� (Domestic Mail Only; <br /> �rOTFICIALUSE` <br /> rt i <br /> AM <br /> ErPostage $ <br /> Certified Fee <br /> M Postmark ' <br /> © Return Receipt Fee <br /> �fl Here.! <br /> C3 (Endorsement Required) <br /> Restricted Delivery Fee <br /> t7 (Endorsement Required) <br /> Total Postage <br /> 3 ti 1St Interstate Bank of California._ . <br /> Sento c/o Circle K Company#5447 <br /> E3 sireet,Mt.—No.;' PO BOX 52085 r �� <br /> or Po Box No. Phoenix,Arizona-85072" <br /> 1 Cr'tji siare'zr� r. <br /> ■ Complete items 1,2,and 3.Also complete A- Signature <br /> I item 4 if Restricted Delivery is desired. I C3 <br /> ■ Print your name and address on the reverse X 'P1�r �rJCR �� ,C?V Agent <br /> so that we can return the card to you. PE ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) Date of Delivery <br /> or on the front if space permits. N�QV. <br /> 1 2 2012 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,er DoFlaErVEIYO <br /> 1$t Interstate Bank of California 1 NOV g <br /> C/o Circle K Company#5447 5 2012 <br /> PO Box 52085 <br /> Phoenix,Arizona 85072 3 0 FgLTFI <br /> Re: 1469 Hammer Lane NFA �0 cae��RforMerchandise <br /> - - .... ❑insured Mail ❑C.O.D. <br /> 4, Restricted Delivery?(Ettra Fee) 13Yes <br /> 2. Article Number -- <br /> (Transferfromserviceigbel)l 70.11 2970 0003 9133: 1706 <br /> PS Fort 3811, February 2004 Domestic Return Receipt <br /> 102595-02-M-1540 <br />