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s <br /> m <br /> iv <br /> Firce <br /> CERTIFIED AIL-RECEIPT <br /> (Domestic Mail OnlY,'No Insuran�e Coverage Provided) <br /> n- <br /> .a Postage $ <br /> Certified Fee MARGARET QUIROCA <br /> Retum Receipt Fee 1547 CAPITOLA A <br /> O (Endorsement Required) VE <br /> ResMcted Delivery Fee STOC%TON CA 95206 <br /> (Endorsement Repaired) <br /> O <br /> N Total Postage$Feea <br /> r9 Recip'sm Name(Please i:;: <br /> Clearty)(to ba completed by mailer) <br /> Street.Apt.No.;orPo Bax No...__.__._..______..___._.._________________________ <br /> C3 <br /> O <br /> N City,Stefe,ZIP+d ---------- <br /> -— <br /> :r. rrr <br /> ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print CleaAy) B. Date of Delivery <br /> Item'If <br /> i QI�e q <br /> ■ Printat,, Ares h reverse 7 <br /> Fr that w 1�e c C. Signature <br /> ■ Attach this card to the back of the mailpiece, X ❑Agent <br /> or on the front if space permits. <br /> D. Is delivery address different from Rem 1? ❑Yes <br /> t. Article Addressed to: If YES,enter delivery address below: ❑No <br /> MARGARET QUIROGA <br /> 1547 CAPITOLA AVE 3. Service Type <br /> STOCKTON CA 95206 1ACertified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Memhandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑yes <br /> 2. Article Number(Copy from service label) <br /> 00 OW 4rol <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 <br />