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` ■ Com00radUcolhe <br />complete <br />itemellired. <br />■ Print reverse <br />so that we can return the card to you. <br />f■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />I 1. Article Addressed to: <br />PO BOX 1110 <br />STOCKTON CA 95201 <br />I ,2.—Aaicle lyuplbpr. <br />I _ :'.(Tiirisfer fdoni sorviee labe9 l ! _ _ = t= i t HI <br />A. Signature <br />X Ap,, <br />❑ Agent <br />B. Received by (Printed Name) Date.olT.4ry <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No ` <br />3. Service Type <br />9 Certified Mail ❑ Express Mail <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />IPS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 1 <br />