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COMPLETE • <br /> ■ Complete�items 1,2,and 8.Also complete A. Signature _ <br /> item 4' jUld <br /> v <br /> l 13 Agent <br /> ■ Print y n e reverse [3 Addressee <br /> so that u. B. rved by(Pnnted Name) C. Date of pelivery <br /> ■ Attach this card to the back of the mailpiece, � ►.1.. ���� Z /� <br /> or on the front if space permits. f 7u <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> PACIFIC BELL <br /> 124WELM ST <br /> LODI CA 95240 <br /> 3. Service Type <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 7004 2510 0003 3789 1488 <br /> (Transfer from service labeq <br /> Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1 540 <br />