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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sig urs <br /> item 4 if Restricted Delivery is desired. X � 13 Agent <br /> ■ Print your name and address on the reverse �- D Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. el' "c <br /> D. Is delkre 6lddress ditierent frau(. 1 Yes <br /> 1. Article Addressed to: If YES,enter delivery address Lie C:Mo <br /> FEB 17 2015 <br /> RICHARD KOOISTRA <br /> 1523 RUTLEDGE WAY ENVIA <br /> STOCKTON CA 95207 <br /> Service Tjt !( FS <br /> PRG BLLG 12 31 14 Certified Mail® ❑Priority Mail Express- <br /> 0 Registered *iteturn Receipt for Merchandise <br /> RE 1523 W.RUTLEDGE WAY,STKN ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7013 2630 0001 5222 4271 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />