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SECTIONSENDER. COMPLETE THIS SiECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3,Aso complete+ A. S n u <br /> item 4 if Restri d ❑Agent <br /> ■ Print your namN on a ve El Addressee <br /> so that we cart t B. Received by(Printed Name) Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, 2- <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 13 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> NORM'S 76* <br /> 633 E VICTOR RD A <br /> LODI CA 95240 <br /> 3. Service Type <br /> X 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 ?004 2 510 0003 3 7 8 9 1211 <br /> (Transfer from service labeo <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />