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Postal <br /> CERTIFIED IVIAIL-; RECEIPT <br /> ru : (Domestic Mail Only;No Insurance Coverage Provided) <br /> M <br /> QFor- <br /> . <br /> M1 <br /> Q^ _ <br /> -0 Postage <br /> Ctoll D *M50 <br /> certified Fee $ " ��� <br /> p Postmark <br /> Return Receipt.Fee () Here <br /> (3 (Endorsement Required) r/ <br /> Restricted DeliveryFee <br /> E3 (Endorsement Required) <br /> M <br /> CD Total P <br /> 'q COUNTRY CLUB FOOD&FUEL MINI MART <br /> cO <br /> Sent o ATTN:FASSEL ELDER <br /> 0 <br /> o 4880 PEACH RD <br /> Sneer,A, <br /> r- or PO& MANTCCA CA 95337-8546 <br /> cny sm <br /> Re"fi.5(o�� <br /> COMPLETEP, c00.Augus!2006 Se�Rcversc for Instructions <br /> • <br /> ■ Co a A. Signatu <br /> item ff iv is d i ❑Agent <br /> ■ Print our d on e e X ❑Addressee <br /> so th w h p B. R C. Date of Delivery <br /> ■ Attach is card to the back of the mail iece, ]l � <br /> or on the front if space permits. <br /> D. Is delivery address different from 1? ❑Yes <br /> 1. Article Addressed to: If YESN6e+d0jv add below: ❑No <br /> CtJ <br /> ENVIRUN'irt'u 1 HEWN <br /> COUNTRY CLUB FOOD&FUEL MINI MART PERMIT/SERVICES <br /> ATTN: FASSEL ELDER <br /> 4880 PEACH RD 3. Type <br /> MANTECA CA 95337-8546 <br /> an 13 Express Mail <br /> Registered ❑Return Receipt for Merchandise <br /> (2,-:1 S5 1,-VCh,b /th,? ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extre Fee) ❑Yes <br /> 2. Article Number <br /> (Trensfertnxnservice laW 7008 1830 0004 8693 9321 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />