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I , I <br /> • • • DELIVERY <br /> COMPLETE SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X El Agent <br /> ■ Print your name and address on the reverse ❑Addressee <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, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 19 13 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> WALTER C KOTECKI <br /> 267 MAY AVE <br /> STOCKTON CA 95215 3. Service Type <br /> G"ftrtified Mails ❑ Priority Mail Express" <br /> PRG BLLG 3 31 14 ❑Registered 4INhiiNturn Receipt for Merchandise <br /> RE 11t57 N MYRAN AVE#3,STKN ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7012 2600 0001 5191 4265 <br /> (transfer from service label) <br /> { PS Form 381 1,July 2013 Domestic Return Receipt <br />