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i . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature :1 47ll <br /> item 4 if Restricted Delivery is desired. nt <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Pri ed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, , f• <br /> or on the front if space permits. <br /> v address differ t from item 1? 13 Yes <br /> 1. Article Addressed to: ®C n Nbur delivery address below: ❑No <br /> WALTER C KOTECKI JUL 1 <br /> 267 MAY AVE <br /> STOCKTON CA 95215 <br /> ENMONMEN 41EALT)He <br /> ND QTR 2015 PFRMITN• 01 132tified Mail ❑Priority Mail Express'" <br /> PRG BLLG 2 <br /> El Registered ieturn Receipt for Merchandise <br /> RE 1757 N.MYRAN AVE.,ff3,STKN ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service fabeo 7 214 2120 0004 7 742 2977 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />