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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 if space permits. <br />1. Article Addressed to: <br />CHEROKEE LANE SERVICE STATION <br />ATTN: DALJIT GROVER <br />900 S CHEROKEE LN <br />LODI CA 95240-4335 <br />RE: 900 s CHEROKEE_ - usr R1N ,v <br />A. Signature <br />Postal <br />❑ Agent <br />❑ Addressee <br />B. Received by ( Printed Name) C. <br />(Domestic Mail Only; No Insurance <br />Coverage Provided)a <br />co <br />D. Is delivery address different from Rem 1? <br />C1 Yes <br />m <br />$ <br />DEC 2 8 2012 <br />Postage <br />Certified Fee <br />��y�Q tJYVM <br />r�j <br />Vptxpress Mail <br />❑ Registered Return Receipt for Merchandise <br />markCD <br />Retum Receipt Fee J�ere <br />(Endorsement Required) <br />❑ Yes <br />O <br />O <br />Restricted Delivery Fee <br />(Endorsement Required) <br />(- <br />ru <br />T-` CHEROKEE LANE SERVICE <br />STATION <br />a <br />: ATTN: DALJIT GROVER <br />---------- <br />o <br />900 S CHEROKEE LN <br />r` <br />Fen <br />r, <br />O LODI CA 95240-4335S <br />RE. 900 SCHEROKEE -UST <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 if space permits. <br />1. Article Addressed to: <br />CHEROKEE LANE SERVICE STATION <br />ATTN: DALJIT GROVER <br />900 S CHEROKEE LN <br />LODI CA 95240-4335 <br />RE: 900 s CHEROKEE_ - usr R1N ,v <br />A. Signature <br />❑ Agent <br />❑ Addressee <br />B. Received by ( Printed Name) C. <br />e of Dlivery <br />:Z <br />D. Is delivery address different from Rem 1? <br />C1 Yes <br />❑ No <br />DEC 2 8 2012 <br />a {WNTAL HEALTH <br />Vptxpress Mail <br />❑ Registered Return Receipt for Merchandise <br />Cl Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7 011 2970 000E 913E 1881 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />