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o - - <br />m Domestic <br />Ln <br />o <br />o <br />UI Certifled Mail Fee s <br />'-$ N 13y) - <br />CA --le <br />Extra Services & Fees (cneckbar, add tee as eppropde,�C1�te) ��`��� Q <br />❑ Retum Receipt (hardcopy) $ <br />❑ Return Receipt (electronic) $ P st 8rrp—Y <br />Q ❑ Certified Mallnate a Required <br />Delivery $ Here <br />C3 Adult Signature Required $ \ <br />❑ Adult Signature Restricted Delivery $ <br />MPostage <br />M $ CHEVRON STATION #94275/1705 <br />O Total Postage an <br />$ RE: CHEVRON STATION #94275 <br />ti Sent To PO BOX 6004, ATTN: PERMIT DESK <br />$treetandApt.Ni SAN RAMON, CA 94583 <br />uli,-ax:4 Re: PR0231952 Rtn: LB <br />■ Complete I is <br />e( d 3. <br />■ Print your dress on the reverse <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. <br />1. Article Addressed to: <br />CHEVRON STATION #94275/1705 <br />RE: CHEVRON STATION #94275 <br />PO BOX 6004, ATTN: PERMIT DESK <br />SAN RAM ON, CA 94583 <br />Re: PR0231952 Rtn: LB <br />A. Signaliure <br />X l' h <br />B. Received by Prr Name) C. <br />D. Is delivery address different from item 1? <br />If YES, enter delivery address below: <br />Ise IV QD\®fll:� I:®fl. III':1fl:' <br />❑ Agent <br />❑ Addressee <br />rofr8fVery <br />❑ Yes <br />❑ No <br />3. Service Type <br />El® priority Mail Express <br />❑ Adultuet Signature <br />❑Registered MaiIT^" <br />II <br />I' <br />I <br />II ISI <br />II <br />I IIS <br />I'I <br />II <br />I III <br />III <br />I <br />I I <br />I I <br />I <br />❑ Adult Signature Restricted Delivery <br />0 Mail Restricted <br />oWTRegistered <br />Certified Mail© <br />Delivery <br />9590 9402 6099 0125 5832 46 <br />❑ Certified Mail Restricted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />2. Article NumhPr trr—fo, f.,.^, ^^^-°-- '- -" <br />r in Delivery Restricted Delivery <br />[I Signature Confirmatloni- <br />❑ Signature Confirmation <br />Mail <br />?021 0350 0000 815 0 0530 vlail Restricted Delivery <br />Restricted Delivery <br />I (over $500) <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receirr' <br />