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SENDER: COMPLETE THIS SECTiON COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and��Als p e A Slgn tore <br /> item 4 if Restricted Deliv�y is d I X ❑Agent <br /> ■ Print your name and add�ss on e v 11 Addresses <br /> so that we c,L return th rd B. eceNed q,(Pd ted Name)_ C. D e of ery <br /> ■ Attach this card to the back of the mailpiece, - 11 <br /> r, on the front if space permits. r "11!I I <br /> 1. Article Addressed to: D. Is d _ tlroieR[e ❑Yes <br /> If YES,enter delivery address below: 0 No <br /> NJV Z 0 2009 <br /> SHELL OF MANTECA HEALTH <br /> ATTN: CHANG SONG ENVIRONMENT I <br /> 824 E YOSEMITE AVE plidal^ ICES <br /> 3. Service Type <br /> MANTECA CA 95336-5828 IKCertitted Mail 0 Egress Mail <br /> RE.824EYOSEMITE RTN:AC 13 Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail 13 C.O.D. <br /> 4. Restricted Delivery?(Entre Fee) 0 Yes <br /> 2. Article Number <br /> (transfer from service label) 7008 1830 0004 8693 9000 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-01-1540 <br /> Postal <br /> ` ` <br /> ECEIPTC3 (Domestic Mail Only;No Insuranc&Coverage Provided)O <br /> C3 <br /> Ir <br /> M 0 FFIQ1 �4L US <br /> Ir <br /> `D <br /> _n Postage $ <br /> -I- Certified Fee <br /> C3 Return Recelpt Fee Po <br /> HtmB1k <br /> M (Endorsement Required) Rare <br /> Restricted Delivery Fee <br /> M SHELL OF MANTECA <br /> a Tab"" ATTN: CHANG SONG <br /> �o 70 753— 824 E YOSEMITE AVE <br /> Z3 sbiw-* MANTECA CA 95336-5828 ...... <br /> Iti WPO ft RE 824 E YMEMITE <br /> .6767__S_ <br /> Cify, rete,__ RfNAl' "'"""" <br /> t <br />