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CO • . . <br /> ■ Complete items 1,2,and 3.Also complete 7Signatureitem 4 if ❑Agent <br /> ■ Print you a re o h reverse ❑Addressee <br /> so that W B. Receiv y(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <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 /> ARCO AM PM#5450* <br /> 1617 W FREMONT ST <br /> STOCKTON CA 95203 <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 Numberr t1 0 4 2 510 0003 3789 1617 <br /> (transfer from service labe <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />