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■ Complete items 1, 2, and 3. Also complete A. Sign ure <br />item 4 if Ri X 13Agent <br />■ Print your ss 1verse ❑Addressee <br />so that we !! h Car�o�ni B. eceive ( Printed N e) C. Date of Delivery <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. Z -77- <br />D. Is delivery address different from item 1? ❑ Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />CA?NEPA, REMO & MARION <br />1536 N HUNTER ST <br />STOCKTON CA 95204 <br />3.Se ice 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 <br />(transfer from service label) 7`004 2 510 0003 3789 5028 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />