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■ Complete Items 1, 2, a d 3. Also complete <br />Item 4 If Restricted Delivery is desired. <br />■ Print your name and address 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. ANde Addressed to: <br />ATTN MAURICE O RAY JR <br />MOKELUMNE BEACH RV PARK <br />755 S FAIRMONT AVE <br />LODI CA 95240 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />A. Signature <br />O Agent <br />0 Addressee <br />B. Received by (Printed Name) 10. <br />D. Is delivery address different from itenY17 v M <br />It YES, enter delivery address below: ❑ No <br />3. S rvice Type <br />Certified Mail O Express Mail <br />❑ Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Ek6a Fee) 0 Yes <br />7005 2570 0001 3790 5416 <br />Domestic Return Receipt <br />102595-02-M-1540 <br />