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■ Complete �lplete <br />item 4 if R I' I d 1 <br />■ Print your r everse <br />so that we can return the card to you. <br />IN Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article, Addressed to: <br />QUIK STOP MARKETS #76* <br />1030 S OLIVE ST <br />STOCKTON CA 95205 <br />A. Signature <br />X 13 Agent <br />❑ Addressee <br />B. Rec ived by (Printed Name) C. ate of Del' <br />n"e vc v I -��, r�V/ <br />D. Is delivery address different from item 1? Li Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified 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 0003 3789 0425 <br />` (rransfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />