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SENDER: . .N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2, and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <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 Delivery <br /> ■ Attach this card to the back of the mailpiece, <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 delivery address below- No <br /> FFi r1 /I <br /> ANGELO G FORNACIARI j <br /> 906 OXFORD WAY UA <br /> 2004 <br /> STOCKTON CA 95204 3. rviceType Tu EALTH <br /> Certified E�� Mdil� Cc <br /> ❑ egistered PE ' �""JbFSMerchandise <br /> ❑ Insured Mail C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7001 2 510 0005 9632 2504 <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035 <br />