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COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑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. r <br /> 1. Article Addressed to: D. Is ES,ery e@' tlt�e I No <br /> If YES,erp� `-' <br /> KWIK SERVE NOV 17 2004 <br /> 950 W 11TH ST LTH <br /> TRACY 95376 <br /> 3. S rvice Type pPM1T/SE <br /> Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7003 3110 0003 5254 3234 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 1625§_02-M-1540 <br />