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COMPLETE • - - OMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete tare. <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑'4ddressee <br /> so that we can return the card t you. g, (Printed Name) C. Date of Deli ery <br /> ■ Attach this card to C fa-0(v o <br /> or on the front ifs D. Is 1? ❑Yes <br /> 1. Article Addressed to: all v,Cd if ❑No <br /> DEC 0 0 2006 <br /> Tokay Dialysis Center <br /> 312 S. Fairmont Ave., Suite A 3. ,r L <br /> Lodi, CA 95240-3840 Wcertmed Mall o dress Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mall O C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. ArdcleNumb 7003 2260 0003 3185 6536 <br /> nFwww MW <br /> PS Form 3811,February 2004 Domestic Return Receipt ta¢s> a¢■tso°j <br />