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SECTIONSENDER: COV13LETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,6aqd3.Also co A. Signatureitem 4 if Restrictedt ❑Agent <br /> ■ Print your name anerse X 11 Addressee <br /> so that we can return the O B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of 4011111flMilpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter \ <br /> KEVIN BASSO, GENERAL MANAGER ,MD <br /> FORWARD INCORPORATED NOV 0 3 2003 <br /> PO BOX 6336 <br /> STOCKTON CA 95206 3. ice Typ NMENT HEALTH <br /> RTN TO M.KEITH CertifiedMafEff G 1 <br /> RE: FORWARD LAND FILL FA39-AA Rertistered Ret rn ec ,,erchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑ Yes <br /> 2. Article Number 7002 3150 0005 7194 4057 <br /> (Transfer from service label) � <br /> fieceipt 2ACPRI-03-Z-0985 <br /> i <br />