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■ Complete items 1,2,and 3.Also complete 7A.oSignatureitem 4 if e s d. ®4V ❑Agent <br /> A Print yo n dre t reversey /\� T ❑Addressee <br /> so that a Printed Name) C�Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, � <br /> or on the front if space permits. 1 <br /> D. 1s delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No + <br /> WINE COUNTRY FOOD & GAS <br /> I I I I E KETTLEMAN LN 3. Service Type <br /> LODI CA 95240Certified Mail ❑Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7004 2 510 0003 3789 1419 <br /> {Transfer from service lab& <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />