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■ Complete items 1 2,and 3.Also complete A. Signature <br /> ` item 4 if ery s d. X 0 Agent <br /> ■ Print you dre o t reverse 0 Addressee <br /> so that W r e B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this car ailpiece, <br /> or on the front i . <br /> 1. Article Addressed to: D.is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: 0 No <br /> ROBERT ROBERTSON <br /> 166 FRANK WEST CIR 3 ice Type <br /> STOCKTON CA 95206 Certified Mail E3 Express Mail <br /> /�'RRegistered ❑Return Receipt for Merchandise <br /> ❑Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> (Transfer from servicelabeq 7003 2260 0003 3186 2377 4 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />