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■ Complete ite "12an Also complete <br />item 4 if Re IWISIIFW <br />■ Print your n d o� tF"erre <br />so that we c e a <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Addressed to: <br />2349 RICKENBACKER WAY <br />AUBURN CA 95602 <br />A. <br />E3 Agent <br />❑ Addressee <br />B. deceived by (Printed Na ;) C. Date of elivery <br />D. Is delivery address different from item 1? 171 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail D Express Mail <br />[� FtegistArecl; = "�] `Return Receipt for Merchandise <br />O Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. (ransferle umber <br />ms 7004 2510 0023 3789 3505 <br />(transfer from service laben <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />