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- AW <br /> SECTIONSENDER:COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(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 /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> UNIT V If YES,enter delivery address below: ❑ No <br /> r TIMOTHY& RACHEL HIGGINS �'��� <br /> k 766 CHESTNUT AVE gEC <br /> SAN BRUNO CA 94066 <br /> 3. Service Type <br /> IP/PL/PKT TgZertified Mail ❑ Ex Oma 5 <br /> RE 4105 E. SECTION AVE., STKN ❑ Registered MZetum Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery <br /> 2. Article Number <br /> j (Transfer from service label) 7011 2970 0003 913376_09 <br /> PS Form 381 1, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> i - <br /> II _ <br /> I _ <br />