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■ Complete items 1, 2, and 3. Also complete <br />item 4 ife <br />■ Print yo nWn <br />t reverse <br />so thate <br />■ Attach this card to the back of the mailpiece, <br />or on ±he front if space permits. <br />Article Addressed to: <br />MOHAMAD S MATAR <br />) 314 ]DEB CT <br />SAN JOSE CA 95206 <br />A. <br />❑ Agent <br />❑ Addressee <br />B: Rrck vedby Printed Name) C. Date of Delivery <br />1/.2--X7 <br />D. Is d ry a dress different from item 1? 13 Yes <br />If Y , enter delivery address below: ❑ No <br />rvice Type I <br />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 2492 <br />(rransfer from service labeq <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />