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■ Complete items 1, 2, and 3. Also complete <br />item 4 ife <br />■ Print yo d t reverse <br />so that e <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article fddressed to: <br />QUIK STOP MARKETS 1NC 9144 <br />7272 WEST LN <br />STOCKTON CA 95209 <br />A. Signature <br />X l l� ❑ Agent <br />`J <br />Add. <br />B. Received by (Printed Name) <br />C. D to of Deli <br />v� <br />D. i tem 1? <br />❑ Yes <br />ery address below: <br />No <br />i1EALTH <br />3. <br />4 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 0962 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102W$ 2 -M -t 540 <br />