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■ Complete items 1, 2, and 3. Also com tete <br />item 4 if RestrldWss <br />■ Print your nal71Q anto,t erre <br />so that we cdrrtetGrITd <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. _ <br />Article Addressed to: <br />SJ GENERAL HOSPITAL* <br />ACCOUNTS PAYABLE <br />PO BOX 1499 <br />FRENCH CAMP CA 95231 <br />A. Signature <br />❑-Agent <br />X ! tK1 i.c ) ',• ❑ Addressee <br />B. Reegiveyad by ( Printed Name) C. Date of Delivery (\I <br />I ; c `, <y - / i <br />fladdress different from item 1? ❑ Yes <br />I) =address <br />address below: ❑ No <br />7 <br />NOV 2 0 2002 <br />ENVIRONME <br />PERMIT/S! ikoe <br />ned 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 7002 2030 0003 8788 7890 <br />(Transfer from service label) <br />� PS Form 3811, August 2001 Domestic Return Receipt <br />102595.02-M-1540 <br />