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■ Complete items 1, 2, and 3. Also complete <br />item 4 if e ' d. <br />■ Print yo d t reverse <br />so that a U. <br />■ Attach this card to the bac o e mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />H & M MARKET <br />2501 JACKSON AVE <br />ESCALON CA 95320 <br />A. Signature <br />X=i <br />❑ Agent <br />B. Receivedby (Printed Name) C. Date of Deliv ry <br />fl5S 4tll'11.2, a 3 ( <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <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) ❑ Yes <br />2. Article Number 7004 2510 0003 3789 0085 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt' " 102595-02-M-1540 <br />