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r <br /> COMPLETE SECTIONI COMPLETE • ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature ' ��r <br /> item 4 if e X ? J ❑Agent <br /> ■ Printyou n d t reverse t-�I -_< ❑Addressee <br /> so that�el� B. R ed b Printed N ) C. Date of livery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery add ' Brent from Item 1? ❑Yes <br /> 1• Article Addressed to: If YES,enter delivery address below: ❑No <br /> ' I <br /> I I <br /> j QUIK STOP #121 <br /> 1196 W LOUISE AVE 3. &viceType <br /> MANTECA CA 95336 ❑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 ?004 2 510 0003 3 7 8 9 145? <br /> (Transfer from se <br /> Ps Form 3811,February 2004 Domestic Return Receipt t S-02-M7� <br />