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■ Complete items 1, 2, and 3. Also complete <br />item 4 if R0sme An jJ( <br />i .■Print your !fame and; resn h ' everse <br />so that we t19n 1 et i.A t c <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Kari-nallah Bayanzay <br />2357 Meadowbrook Drive <br />Lodi, CA 95242 <br />A. Signature <br />X Q Agent <br />❑ Addressee <br />B. Receiv by.f 'tinted Name) C. Date ot; Deli ery <br />d. Is deliv fjb�ii �f7i El Yes <br />If YES, $af5 1,�..ib,, 8 AIO <br />JAI'] 0 �- 2006 <br />3. ServiceTyOW.7WAIT - <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7003 2260 0003 3186 2315 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />Postal <br />CERTIFIED MAIL, RECEIPT <br />M(DomesticProvided) <br />r1J <br />C7sta a <br />M <br />tage $ <br />M <br />O FeeORetFee Postmark <br />(Endorseired) Here <br />� RestrictFee.-D (Endorsered)fU <br />ru Total Pees <br />M <br />Q Sent To <br />Karimallah Bayanza <br />--------- ------------------- <br />Street, Mt- No.; -- y......... <br />or <br />PO <br />C;...X. 2357 Meadcwbrook Drive <br />----- <br />City, State, ZlP+4 - -• <br />Lodi, CA 95242 <br />