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■ Complete items., AI e <br />item 4 if Restrict Fk <br />s <br />■ Print your name n ado h re rse <br />so that we can°'retu td y <br />■ Attach this card to theo e, <br />or onthe front if space permits. <br />1. Article Addressed to: <br />MIKE AHMADI <br />MARIE JORDON <br />DAVE HINDS <br />587 YGNACIO VALLEY RD <br />WALNUT CREEK CA 94596-3801 <br />RE:: 2575 COUNTRY CLUB RTN: GB <br />I 2. Article Number <br />(Transfer from service label) <br />IPS Form 3811, February 2004 <br />A. Signature <br />7008 1830 0004 8693 7907 <br />Domestic Return Receipt <br />102595-02-M-1540 <br />❑ Agent <br />Addressee <br />B P= <br />Date of Delive <br />/Rye�c <br />D. Is delivery address different from Rem 1? ❑ Yes <br />If YES, enterdelivg�y We low: <br />FR <br />❑ No <br />ENVIRONMENT HEKTH <br />PERMIT/SE"ES- <br />3. Service Type <br />*g Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />7008 1830 0004 8693 7907 <br />Domestic Return Receipt <br />102595-02-M-1540 <br />