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COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4:i#R W. X ❑Agent <br /> ■ Print your re verse El Addressee <br /> So that we t C B, eived by(Print ame) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, �Zg <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No - <br /> ULTRAMAR INC/JOHN VAGT <br /> 685 W THIRD ST <br /> HANFORD CA 93230 3. ervice Type <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 3871 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />