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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. si ure <br /> item 4 if R tr' i � Agent <br /> ■ Print your ssM ❑verse ❑Addressee <br /> so that we h C PFNII (Pn'y *tN 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 item 1? F-3yes1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> I <br /> KETTLEMAN CHEVRON <br /> I <br /> 601 E KETTLEMAN LN I <br /> LODI CA 95240 3. Service Type <br /> ACertified Mail ❑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 0203 3789 0801 <br /> (Transfer from service label) <br /> i PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />