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w <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if RUITT <br /> i ❑A t <br /> ■ Print your ess a verse X Addressee <br /> so that we Car B. ecei d by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address differen item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> SAFEWAY #2600 <br /> 1987 W 11TH ST <br /> TRACY CA 95376 3. Service Type <br /> Certified 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 251,0 0003 3789 1693 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> Postal <br /> CERTIFIED MAILT,, RECEIPT <br /> .0 (Domestic Mail Only, <br /> to <br /> f� <br /> m <br /> Postage $ <br /> M <br /> U Certified Fee <br /> O <br /> IZI Return Receipt Fee Postmark <br /> (Endorsement Required) Here <br /> [z] Restricted Delivery Fee <br /> r-:1 (Endorsement Required) <br /> U-) <br /> ni <br /> Total Post <br /> SAFEWAY #2600 <br /> o LT5 W 11TH ST <br /> 0 <br /> r` CY CA 95376 <br /> -, <br />