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■ Complete items f Riidlor 2 for aWdonal setvices. ' <br />■Complete items 3, 4a, and 4b. <br />■ Print your name and address on the reverse of this form so that we um this <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />■Write'Retum Receipt Requested' on the meilpiece rticle number. <br />■The Return Receipt will show to whom the aR daNttered�s�the date <br />delivered. <br />3. Article Addressed to: J X;/ <br />QUIK STOP MARKETS INC �. <br />4567 ENTERPRISE ST <br />FREMONT CA 94538 <br />M� <br />5. Received By: (Print Name) <br />6. Signature: (Addressee or Agent) <br />I also wish to receive the <br />following services (for an <br />� <br />extra fee): <br />A <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />in <br />Consult postmaster for fee. <br />S• <br />4t <br />Ge Number <br />� <br />�� `,� <br />A <br />ce Type <br />1i <br />red <br />i <br />Certified <br />= <br />ass Mail <br />0 Insured <br />5 <br />um Recei t for Memhandse 0 COD <br />mol <br />%e, De,'ery <br />z. <br />/ <br />C <br />a <br />Addrea ee's ddr ss (Only H requested <br />and fee is id) <br />PS Form 3811, December 1994 102595-97-B-0179 <br />