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SENDER: • rN COMPLETE THIS SECTIONON r <br /> 1 �tisfY <br /> tr ■ Complete items 1, d .Also complete A. ature �` <br /> r ■ PrintEr <br /> item 4ur n end Iso the reverse /Q n0~esired. 0.e�dressee <br /> ru <br /> th mite card to yau. e. Recely (Prlrrfed�lY 'e) G. D a!'Delivery <br /> M ■ A to the back of the mailpiece, a�` l <br /> M <br /> or a front if space permits. 1�` 3- <br /> 1. Article Addressed to: D. !s de rve, ad rd Brent 1romitem 17 l�Yes <br /> ,m If YES,l nter delivery add�res 1pw•'{��EI'No <br /> G7Fps/ w <br /> 1) <br /> Van De Poi Enterprises 213 <br /> °'ru PO Box 1107 3. service,; r+ 4'iFlm" x <br /> cer n�aii r <br /> ❑, <br /> ress_Mell <br /> Stockton,CA 95201 .1� _,,E'`pn <br /> ❑Registered D ReturrjRe ipt for Merchandise <br /> Q Re:2402 Pacific 70112970000391332499 ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> I <br /> 2. Article Number 7011 2970 0003 9133 2499 <br /> (Transfer from servloe label} <br /> •P5 Form 3$11,February 2004 Domestic Return Receipt t0259542•M•t5A4 t <br />