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■ Complet i d 3. AI o complete <br />item 4 if v s <br />■ Print yo ti d �reverse <br />so that we can return he U. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />A. "ature <br />X �1"6- <br />❑ Agent <br />❑ Addressee <br />B. Received by Pripted Name) Q. I�tejo ry <br />D. Is delivery address different from item 1? ❑ <br />If YES, enter delivery address below: eNo <br />Ci4EVRON PRODUCTS <br />COTERMIT DESK <br />PO BOX 6004 / L2375 -B3 <br />SAN RAMON CA 94583 �rype � <br />tiled Mail ❑Express Mail <br />❑ egistered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number I <br />(transfer from service label) 7004 2 510 0003 3 7 8 9 3987 <br />+I <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />