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■ Complete items 1, 2, and 3. Also complete <br />item 4 if R <br />■ Print your a verse <br />so that weDREcar <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />COS MUNICIPAL SE VICE CTR <br />1465 S LINCOLNS I <br />STOCKTON CA55)K2(01f6 J <br />A. Signature <br />❑ Agent <br />X� <br />❑ Addressee <br />B.0\R�e/ceiv/e%d by ( Printed{' <br />C. D e of Del" <br />%Naamme) <br />1� /S <br />D. Is delivery <br />If YES, enterer I <br />®No <br />JAN 0 5 <br />2005 <br />3.Se ice'1Q lhUNIVItIV IML nC/ALI n ucr 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 <br />(Transfer from service label) ?004 2 510 0003 3 7 8 9 0566 <br />j <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />