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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 3.AISo,complete a SignatureU IL "' <br /> item 4 if Restrict very is dgsired. L��L Agent <br /> ■ Print your name ' <br /> oll the reverse X O 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, A I I.1 2005 <br /> or on the front if space permits. <br /> D. Is delivery add horn iQ �.p�Y7e�s� <br /> 1. Article Addressed to: If YES,enter d=5E <br /> � 11 RA Wl i <br /> EVti1 TJSERVICES <br /> RICHARD KOOISTRA <br /> 1523 W RUTLEDGE WAY <br /> STOCKTON CA 95207 <br /> 30D OR BOHA 3. ice Type <br /> RE 1523 W RUTLEDGE WAY, STKN. Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mall 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2, Article Number 7004 2510 0003 3945 5046 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-WI500 <br />