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tCOMPLETE THIS SECTIONON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑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 /> d�l�ve ddrgss differe4from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> TIMOZ HY W&RACHAEL HIGGINS TR <br /> 766 CHESTNUT AVE WRM.IENTAL HEALTH <br /> SAN BRUNO CA 94066 <br /> 3`" Service Type <br /> RESO 5 18 2016 Q�ertified Mail' ❑Priority Mail Express- <br /> RE 4105 E. SECTION AVE., STKN ❑Registered -*%kpeturn Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0004 7741 6679 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />