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COMPLETE COMPLETE • ON DELIVERY <br /> FA <br /> plete items 1,2,and 3.Also complete A. Signature <br /> 4 If Restricted Delivery Is desired. � ❑Agent <br /> your name and address on the reverseAddressee <br /> at we c fur t c¢mQ you. Received by(Printed Name) CD e of livery <br /> m <br /> s ctb tic1F�1�4t4e maifpfece, <br /> i <br /> 901 or ofront if space permits. {�lT IVm 1. Articressed to: �/f771 delivery address ditterent from Item 1? ©Y <br /> 1' MD ( ll�r' YES,enter delivery address below: 1-3N <br /> Ir <br /> -a t"� - l`1 Jn f4i1.V V <br /> Arthur Wya:t OV 2 200 <br /> d o 6265 Crooked Stick Circl� <br /> o Stockton, CA 95219 ENVIRO EN❑T H _ Ice Type <br /> C3 451 i Pacific Ave.— N� aRERMITISERv�C S Certified Mall ❑Express Mail <br /> rrtRegistered ❑Retum Reoelpt for Merchandise <br /> ❑Insured'Mail ❑C.O.D. <br /> { 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> t �p <br /> + 0 2. Article Number <br /> (mtMrur tram WOO Irw, <br /> 7008 1835 BU04 8693 3831 <br /> PS Form 3811,February 2004 Domestic Retum Receipt ,oz5s3 oz nn,sao <br />