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■ Complete Items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front.Upace permits. <br />1. Article Addressed to: <br />A. Signature <br />X r .�, I9 -Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Datp of livery <br />r� Z� <br />m Rem 1? Ll Yes <br />If YES, enter delivery address below: ❑ No <br />DEC 18 2012 <br />FLAG CITY CHEVRON <br />U.S. Postal Service,. <br />ATTN: HALEH AMIRI E <br />VIRONMENTAL HEALTH <br />CERTIFIED MAIL,, RECEIPT <br />3. ServlceType <br />CID <br />(Domestic Mail Onijv; No Ins urance Coverage <br />Provided) <br />a <br />_ <br />❑ Insured Mail ❑ C.O.D. <br />M <br />2. Article Number <br />m <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />ra <br />Q' <br />Postage $ , <br />11^GU , <br />M <br />O <br />Certified Fee <br />Q Q/y �ILI�i <br />p <br />� <br />Return Receipt Fee <br />(Endorsement Required) 1� ' <br />Postmark <br />Here <br />O <br />Restricted Delivery Fee <br />(Endorsement Required) <br />� <br />n; <br />Total P FLAG CITY CHEVRON <br />Sent To ATTN: HALEH AMIRI <br />C3 <br />C3 <br />- --- 6421 CAPITOL AVE <br />Streel, A <br />orPOB(LODI CA 95242-9500 <br />City, Sta RE: <br />-TCA- UST <br />---_--__ <br />RTN:AC <br />■ Complete Items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front.Upace permits. <br />1. Article Addressed to: <br />A. Signature <br />X r .�, I9 -Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Datp of livery <br />r� Z� <br />m Rem 1? Ll Yes <br />If YES, enter delivery address below: ❑ No <br />DEC 18 2012 <br />FLAG CITY CHEVRON <br />ATTN: HALEH AMIRI E <br />VIRONMENTAL HEALTH <br />6421 CAPITOL AVE <br />3. ServlceType <br />LODI CA 95242-9500 <br />,Certified Mail ❑ Express Mail <br />RE: 6421 CAPITOL - UST RTN: AC <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 011 2970 0003 9133 1805 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />