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COMPLETL i roiS 8ECTION • • ON DELIVERY <br /> ■ Compl d mplete A. Signature <br /> item 4' live i ❑Agent <br /> ■ Print yo d reverse X ❑Addressee <br /> so that we can return the card to you. B. Receiv ted Name) C. Date of Delivery <br /> ■ Attach this card to the back of the maiipiece, i <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 1:1 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> FLYING J TRAVEL PLAZA* <br /> 1501 S JACK TONE RD <br /> RIPON CA 95366 3. Service Type <br /> )Ef-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 7004 2510 0003 3789 0542 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M=1540 <br />