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�tIVUCFS: ` <br />■Complete items 1 and/or 2 for additional services. y j 4 ,gg$ <br />■Complete items 3, 4a, and 4b. NOV <br />■ Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />■Write'Return Receipt Requested" on the mailpiece below the article number. <br />■The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />G1 <br />2. ❑ Restricted Delivery <br />U) <br />Consult postmaster for fee. <br />'m <br />QUIK STOP MARKETS INC ❑ ft�redr1 <br />4567 ENTERPRISE ST y <br />FREMONT CA 94538 Z ❑ s Mail <br />p ❑ RA eceipt f <br />� Date of Deli <br />�** <br />5. Received By: (Print Name) d <br />and fee is paid) <br />6. Signature: Addressee or Agent) <br />X <br />PS Form 3811, December 1994 Dor <br />fiJ U <br />M <br />d <br />M -Certified <br />❑ Insured 4i <br />lise ❑ COD <br />0 <br />ly if requested <br />m <br />z <br />H <br />rn <br />