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_ i <br /> i� <br /> COMPLETEIS <br /> • , . . DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A Signature <br /> ❑Agent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: I enter delivery address below: El No <br /> UNCI -H Eta <br /> FEB <br /> MARIE GOERINGER FA0019891 <br /> 2077 E W EBB ST <br /> STOCKTON CA 95205 e7Re <br /> Type <br /> fied MaiP ❑Priority Mail Express- <br /> PRG BLLG 4T"QTR 2015 ❑ stered ��Return Receipt for Merchandise <br /> ❑ red Mail ❑Collect on Delivery <br /> RE 2077 E.WEBB ST.,STKN <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0004 7741 7560 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />