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■ Complete Items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. X <br />■ Print your name and address on the reverse <br />so that we can return the card to you. g <br />4: Attach this, card to the back of the mailpiece, <br />iw'orrihe ftorttif space permits. <br />1. Article Addressed to: <br />JEFF MONROE <br />195 MONTEZUMA ST <br />RIO VISTA CA 94571-1830 <br />RE: 9571 & 10020 S ROBERTS RD RTN: MH <br />❑ Agent <br />❑ Addressee <br />R Fa(&nted Name) C. Date of Delivery <br />—/ O <br />Is del ❑ Yes <br />If YES, a lj deli ery address below: 13 No <br />..11 2 �uiu <br />ENPERM�IT .grDi HEALTH <br />3. Se oe Type <br />ICCertified Mail 13 Express Mail <br />[[[[[[��9 Regishwed ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Exna Fee) ❑ Yes <br />2. Article Number 7009 3410 0001 8274 5441 <br />(Transfer from service label) <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />