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SENDER: COMPLETE THIS 8ECT/ON COMPLETE I HIS SL-C TION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signa re <br /> item 4 if Resis '�� ❑Agent <br /> IN Print your n o terse X 1:1 Addressee <br /> so that we ciWf a and B. Received by Printed Name) C. Date pf Deliv ry <br /> ■ Attach this card to the back of the mailpiece, f�� <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? Yes <br /> If YES,enter delivery address below: ❑No <br /> ESCALON MINI MART <br /> 1097 YOSEMITE AVE 3. Service Type <br /> Certified Mail ❑Express Mail <br /> ESCALON CA 95320 ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7004 2510 0003 3789 1396 <br /> (transfer from service/abc <br /> PS Form 3811,February 2004 Domestic Return Recelpt 102595-02-M-1540 <br />