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co I <br />to <br />r-a <br />a <br />M17 <br />M <br />Postal <br />CERTIFIED MAII-Tr, RECEIPT <br />(Domestic•Provided) <br />' <br />DI-- <br />Postage $ <br />M <br />Certified Fee <br />I If p M <br />Return Receipt Fee <br />(Endorsement Required) <br />UUU�PPoosstttmark <br />Here <br />� <br />Restricted Delivery Fee <br />O (Endorsement Required) <br />Er- <br />Total Po-, CHEROKEE LANE SERVICE STATION <br />r-=j <br />: DALJIT GROVER <br />CHEROKEE LN <br />--- <br />CA 95240-4335 <br />L <br />CHEROKEE - UST <br />RTN: ACrr. <br />■ CompI i 1, @nd 3. Also compiete <br />item 4 If;R�d Hvery is desired. <br />■ Print yo4r n an address on the reverse <br />so that We con return the card to you. <br />■ Attach tN"ard.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 - USI R'IN A(. <br />A. Signature <br />X �`l�T /� ❑ Agent <br />❑ Addressee <br />B. Received Icy (Printed Name) : G. Dale of rplivery <br />X1)11611 2— <br />D. <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address�w: ❑ No <br />I ENVIRONMENTAL HEALIH <br />PERhlil-f!SE VICt"�` <br />3. Service Type <br />StCertified 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 7011 2970 0003 9133 1188 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />