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® 1 <br /> ■ Complete items 1,'2,and 3.Also complete 7MA. Signa ..- <br /> item 4 if Restricted Delivery is desired. X gent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of ivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits <br /> I' ery address different from item 1? Oyes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> a <br /> MAR o 8 N04 <br /> JOAN SHEA HEALTH1601 W LINCOLN41RONMEN <br /> ERn1?T/ :`.31iry ice Type <br /> STOCKTON CA 95207 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 7001 2510 0005 9632 2733 <br /> (Transfer from service label) <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035 <br />