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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign re <br /> item 4 if I' X ❑Agent <br /> ■ Print yo n d � reverse ❑Addressee <br /> so that a c u. B. .i ed by(Printed Ngipg6 ery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: ❑No , <br /> USA GASOLINE#3513* ! j <br /> 401 W KETTLEMAN LN <br /> 3 <br /> LODI CA 95240 . S Certified <br /> Type <br /> t <br /> Certified Mail 13 Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7004 2510 0003 3789 1839 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />