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COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete 0. eceived by(Plea clot Clear/y) B: Data of Delivery <br /> item 4 if Restricted Delivery is desired. - <br /> ■ Print your name and address r the reverse t(�{ b'Z— 01 <br /> so that we can return the card to you. C. Sig re <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. X 0 Agent <br /> 0 Addressee <br /> I. Article Addressed to: D. Is delivery address diff from item 1? 0 fes <br /> If YES,enter delivery address below: 0 No <br /> AGNES MABALOT <br /> LATHROP CHEVRON <br /> 140 LATHROP RD 3. Service Type <br /> LATHROP CA 95330 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 Feel 0 Yes <br /> 2. Article Number(Copy from service la' p! <br /> label) <br /> (4-0 LATNROP D <br /> PS Form 3811,July 1� O'9 Domestic Return Receipt <br /> 102595-00-M-0952 <br />