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■ Complete items 1, 2, and 3. Also complete <br />item 4 ifyh <br />■ Print your h verse <br />so that wffiff, <br />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 />SUPER STOP MARKET <br />515 W 11TH ST STE 301 <br />TRACY CA 95376 <br />2. Article Number <br />(Transfer from service label) <br />A. Signature , <br />Agent <br />X� l'� ❑ Addressee <br />B. eceived by (Pililnted Name) C. Date f Delivery <br />�'q- V--01 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />X Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7004 2510 0003 3789 1792 <br />1 PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />