Laserfiche WebLink
■ Complete items 1, 2, and 3. Also complete <br />item y i=�Weur.everse <br />. <br />■ Print o d dd <br />so that r h <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />UNIFIED WESTERN GROCERS <br />INC <br />1990 N PICCOLI RD <br />STOCKTON CA 95215 <br />A. Signature <br />X <br />❑ Agent <br />❑ Addressee <br />B. R v by (P kited Name) <br />, <br />C. D to o Delivery <br />D. Is d ivery address different from item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ 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) <br />❑ Yes <br />2. Article Number <br />(rransferfrom service label) 7004 2510 0003 3789 2225 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />