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■ Complete items 1, 2, and 3. Also complete <br />A. Signatur <br />item 4 if Restricted Delivery is desired. <br />X <br />❑ Agent <br />■ Print your name and address on the reverse <br />❑ Addressee <br />so that we can return the card to you. <br />B. Received b (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 />s deli �i c�k <br />❑ s <br />1. Article Addressed to: <br />If YES, enter delivery address below: <br />❑ No <br />MAY 12 2004 <br />DELTA PLATING <br />1:10RONMENT HEALTH <br />818 S STANISLAUS ST <br />STOCKTON CA 95206 <br />3. Service Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />40 <br />2. Article Number <br />(Transfer from service label) 7002 2030 0001 7624 9168 <br />PS Form 3811, August 2001 Domestic Return Receipt <br />102595-01-M-2509 <br />