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SENDER: CL)ivIPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A.rssln Agent <br /> item 4 if r t�Print your verse Addressee <br /> so that we ta B. Rec 'ved by(Printed Name) C. a of Delivery <br /> ■ Attach this card to the back of the mailpiece, 0 C�Wr•�/ car L <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> CHEVRON STATION #208118 <br /> 3355 E HAMMER LN <br /> STOCKTON CA 95212 <br /> 3. Service Type a <br /> A 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 7204 2512 0003 3789 0276 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />