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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 1. Article Addressed to: <br />WILSON WAY CHEVRON <br />437 N WILSON WAY <br />STOCKTON 95205 <br />` 2. Article Number <br />I{ (Transfer from s <br />PS Form 3811, <br />A. Signature <br />❑ Agent <br />X _- <br />' -' � Addressee <br />B. Receive y ( Printed Name) C. Date of Delivery <br />C- <br />D. Is deliv _ad�l Crre��s diff m item 1? Yes <br />If YES, q gel't � � 0 No <br />NOV 17 2004. <br />3. SSe%-ceiy �.,.,,,.��,1.,v 1 1 ILMLl l�7 <br />Lid Certified hA�a`f�' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />1 4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7003 3110 0003 525+ 3053 <br />2004 Domestic Return `Receipt , <br />ikUL <br />_.. 102595-02-M-1540 <br />