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SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address differeA1-"-PWqEfVED <br /> W - s 1. Article Addressed to: If YES,enter delivery ad ,,.•``,,''$$,,.. <br /> MARIE GOEGINGER NOV 2 8 2011 <br /> 2077 E WU38 ST <br /> STOCKTON CA 95205 <br /> s. Service Type LNVIRONMENTAL HEALTH <br /> BHA 11 16 11 '19Certified Mail ❑ Expreffiftr;%SERVICES <br /> RE 2077 E.WEBB ST., STKN ❑ Registered -$Return Recelptfor Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7011 0470 ❑003 3833 9643 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Recelpt 102595-02-M-1540 <br />