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I <br />plate items 1 and/or 2 for additional services. I also wish to receive the <br />plate items 3,4a, and 4b. following services (for an <br />• Print your nanne,and address on the reverse of this form so that we can return this extra fee): <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. 1. 0 Addressee's Address <br />!Write -Return Receipt Requested' on the mailpiece, below the article number. 2. 0 Restricted Delivery A <br />The Return Receipt will show to whom the article was delivered and the date <br />delivered. ('^na"lf strrlaster f— f.. <br />to: <br />EDWARD & DELORES CARDOZA <br />MAIN STREET MINI MART <br />290 N MAIN STREET <br />MANTECA CA 95336 <br />P 5. Received By: (Print Name) <br />L ui <br />�aure: d seeorA or <br />Addressee's Address (Only if requested C -19 <br />and fee is paid) <br />a Number <br />C <br />ce Type <br />tered W"Certified <br />Ic <br />ss Mail 0 Insured <br />S <br />Receipt for Merchandise 0 COD <br />f Delivery <br />0 <br />Addressee's Address (Only if requested C -19 <br />and fee is paid) <br />