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U.S. Postal Service- <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.com . <br />OFFilCle L USE <br />Certified Mail Fee <br />Total Postage an <br />$ <br />^ Sent To <br />C:1 Street and Apt. Ni r- <br />bly, state, ZIP+4 Re: PR0519887 <br />Postmark <br />sacc) Here rv6ue, <br />cia\e,d, \\ On- <br />COUNTRY CLUB MOBIL CIRCLE K <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />k'10Y) COMPV0xe <br />t\'er <br />Rtn: LB <br />Extra Services & Fees (check box, add fee as appropriate) <br />Return Receipt (hardcopy) <br />0 Return Receipt (electronic) $1,1-10\ \(34-k <br />Certified Mail Restricted Delivery $ <br />0 Adult Signature Required <br />0 Adult Signature Restricted Delivery $ <br />Postage <br />PS Form 3800 A. Hi 2015 PSN 7530-02-000-9047 <br />See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />x C-( I Complete itemaala ogia, <br />Print your name'Zd addi 1-k-s on tne reverse <br />so that we can return the card to you: <br />Attach this card to the back of the mairOece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />COUNTRY CLUB MOBIL CIRCLE K <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />0 Agent <br />0 Addressee <br />Received by (Printed Name) Date of Delivery <br />Z 1 <br />Is delivery address different from item 1 <br />If YES, enter delivery address below: El No <br />17] Y s <br />Rtn: LB Re: PR0519887 <br />II III 111111111111111 IIIf <br />9590 9402 6099 0125 5580 91 <br />2. Article Number (Transfer from service label) <br />7021 0350 0000 8150 1179 <br />3. Service Type <br />0 Adult Signature <br />0 Adult Signature Restricted Delivery <br />Certified Mail® <br />El Certified Mail Restricted Delivery <br />O Collect on Delivery <br />O Collect on Delivery Restricted Delivery <br />n l,c,i Mail <br />AO Restricted Delivery <br />)0) <br />O Priority Mail Express® <br />0 Registered Mail'. <br />O Registered Mail Restricted <br />Delivery <br />0 Return Receipt for <br />Merchandise <br />O Signature ConfirmatIonTm <br />0 Signature Confirmation <br />Restricted Delivery <br />Domestic Return Receipt <br />PS Form 3811, July 2015 PSN 7530-02-000-9053