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■ Co let it an 3. All c to A. Received by (Please Print Clearly) B. Date of <br />ite if a tri d el i ry is si / l l ✓L/ i . A-1 I� i�// 7 <br />■ Print'7110r Rfte1hP1f9dMss A11111111M9 0111Wse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. -Ty <br />1. Article Addressed to: <br />AWN: OWNER/OPERATOR <br />CHP #265 <br />3330 N. AD ART RD. <br />STOCKTON, CA 95215 <br />C. Signature <br />X <br />D. Is delivery ad r <br />If YES, enter deli" <br />MXf k 6 ajU1 <br />t�� <br />0 i i��irC.iV� j T i1E l �L <br />oJl <br />3. Service Type )""Ci' v i i i <;L n v i <br />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 (Copy from service label) -- - <br />7002 2030 0001 7624 9595 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />