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I <br /> SECTIONCOMPLETE THIS DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 11 2, and 3.Also complete <br /> A. Signature ❑Agent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse C. Date of Delivery <br /> so that we can return the card to you. B. Received by(Printed Name) <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. D. Is delivery addres om item 1? ❑Yes <br /> 1. Article Addressed to: <br /> If YES,enter delive s ❑ No <br /> Fid 4AI2 v© <br /> RICHARD KOOISTRA <br /> 1523 W RUTLEDGE WAY �; . <br /> 3. Se�ceType Q7 <br /> STOCKTON CA 95207 Q Certified Mail *, <br /> El Reg istered LJ Ret . 'or Merchandise <br /> SOE-BNC ❑ Insured Mail ❑ C.O.D. S <br /> RE 1523 W RUTLEDGE WAY, STKN 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7006 0810 0000 6564 3015 <br /> (Transfer from service label) <br /> 102595-02-M-1540 <br /> PS Form 3811, February 2004 Domestic Return Receipt _ <br />