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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Si ature <br /> item 4 if Restricted Delivery is desired. X ( Agent <br /> ■ Print your name and adore&on the reverse ❑•Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) 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 different fro item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> ARCO STATION #6080* <br /> 85 E LOUISE AVE <br /> LATHROP CA 95330 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 2510 0003 3789 1372 <br /> (Transfer from service label) <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> Postal <br /> 11 <br /> ru CERTIFIED�MAILr, RECEIPT <br /> r (Domestic Mail Only,No Insurance Coverage Provided) <br /> M <br /> m <br /> OFFICIAL USE <br /> r- <br /> m Postage <br /> M Certified Fee <br /> C3 Postmark <br /> C3 Return Receipt Fee Here <br /> C-3 (Endorsement Required) <br /> O Restricted Delivery Fee <br /> r-q (Endorsement Required) <br /> ul <br /> ru Total Postag, ARCO STATION#6080* <br /> C3 sent To 85 E LOUISE AVE <br /> r` Street,Apt.No <br /> LATHROP CA 95330 <br /> or PO Box No. <br /> City,State,ZIF <br /> -------------- <br />