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DELIVERY <br /> i SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> ❑Agent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, -`'k r' <br /> or on the front if space permits. <br /> D. Is delivery address different from iterrf 1? ❑Yep.=` <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> WALTER C KOTECKI ENVIRONMENTAL HEALTH <br /> 267 MAY AVE - <br /> STOCKfON CA 95215 Service Type <br /> Service <br /> Mail® ❑Priority Mail Express'" <br /> SOE-BNC ❑Registered Return Receipt for Merchandise <br /> RE 1757 N.MYRAN AVE.#3,STKN ❑ Insured MailNli Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7013 2630 0001 5222 2833 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />