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■ Complete items 1, 2, and 3. Also complete <br />item 4 if R ry " <br />` ■ Print your re h everse <br />so that w t ca t <br />■ Attach this t t e ack o e mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />HIDA, GEORGE INC <br />1725 ACKERMAN DR <br />LODI CA 95240 <br />A. Signat e <br />X ❑Agent <br />❑ Addressee <br />11 cei ed by (Printed Name) C. Date of Delivery <br />�Nro1 0 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. S ice Type <br />Certified Mail 13 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 7004 2510 0003 3789 1716 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 1W595 -02-M-1540 <br />