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6 <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desir <br />■ Print your everse <br />so that w <br />■ Attach thi Nffttacell� ilpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />MR RIAZ KHAN <br />2039 E 9TH ST <br />STOCKTON CA 95206 <br />2. Article Number (Copy from service <br />4 Dorn 4t-0'4 0 0 <br />PS Form 3811, July 1989 <br />a <br />Ln <br />r— <br />rU <br />IT <br />,-1 Postage <br />_.0 <br />Certified Fee MR RIAZ KHAN <br />C7 Return Receipt Fee 2039 E 9TH ST <br />(Endorsement Required) STOCKTON CA 95206 <br />C3 Restricted Delivery Fee <br />(Endorsement Required) <br />C] <br />I~ Total Postage & Fees $ <br />r <br />A. Received by (Please Print Clearly) B. Date of Delivery <br />C. Signature <br />X ❑Agent <br />❑ Addressee <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail 11 Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />L.a <br />r3 Recipients Name (Please Print Clearly) (to be completed by mailer) <br />C3 street'-AptNr--P- -O ---B-ox --- N -o . <br />--------------------------------------- <br />C] <br />� Crty, State, ZIP+4 <br />------------------------------- <br />102595.00-M-0952 <br />