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COMPLETE • •MPLETE THIS SECT/ON ON DELIVERY <br /> ■ Complete'e 1 2 tnda 3.Also complete A. Signature <br /> item 4 if iry Agent <br /> Print your es h reverse X f ` �W e Addressee <br /> so that we an c B. R eived by(P' ted ame) C. Date 01,Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. 1 3 tri <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> QUIK STOP MARKETS #39 <br /> 2285 E FREMONT ST <br /> STOCKTON CA 95205 3. Service Type <br /> IN 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 2 510 0003 37$'9 0191 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />