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M d <br /> U.S. Postal Service <br /> CERTIFIED MAIL RECEIPT <br /> (Domestic Mail Only, No fi7suraVce Coverage Provided) <br /> Lna <br /> 117 <br /> a <br /> Postage S <br /> s ceniried Fee MARGARET QUIROGA <br /> C3 Return Receipt Fee 1547 CAPITOLA AVE <br /> p Endorsement Required) STOCKTON CA 95206 <br /> 0 Restricted Delivery Fee <br /> r3 (Endorsement Required) i <br /> M1Total Postage 8 Fees L J <br /> ,-c, Recipient's Name(Please Print Clearly)(to be Completed by mailer. <br /> ...............__...-....---....-----.-.._--._......------..........__..... <br /> .... <br /> O Street,Apf.No.;or Po Box No. <br /> O <br /> r3 Ciiy,State,ZIP.G ....................._..._-------.....__. __---_-.-. <br /> M1 <br /> :rr rrr <br /> •ER: COMPLETE THIS SECTION • SECTION ON DELIVERY <br /> ■ Comp ele item's 1,2,and 3:Also compl@t�. A. Received by(Please Print Clearly) f3. Date f Del' any <br /> item d-VAestricted Delivery is desired. .._ <br /> ■ Print your name and address on the reverse C gnatu <br /> - so that we can return the card to you. .__ - ... -� 0 Agent <br /> ■ Attach this card to the back of the mailplece, ❑Addressee <br /> or on the front if space permits. _ <br /> D. is elivery address di erent from 11 0 Yes. <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> MARGARET QUIROGA <br /> 1547 CAPITOLA AVE <br /> STOCKTON CA 95206 3. Service Type <br /> Certified Mail 0 Express Mail <br /> Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number(Copy from service label) <br /> 41000 161+0 0000 41619 O n g 2nq-6 s. 61-bORRDD <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595.00-td-0952 <br />