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■ Complete items , and 3. Also complete <br />item 4 if Res c I s <br />■ Print your na s o y rse <br />so that we ca*r' <br />e eard <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />5200 SHEILA STREET <br />COMMERCE CA 90040 <br />A. Signature / <br />c' <br />X G <br />B. Received by (Printed Nai <br />❑ Agent <br />❑ Addressee <br />ite of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />X 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 <br />(Transfer from service label) 70 04 2 510 0003 378.9 3468 <br />PS Form 3811, February 2004 Domestic Return Receipt 102555-02-M-1540 <br />