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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. B. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: u ^ <br />CIWMB <br />ATTN: GERALDA STRYKER <br />PO BOX 4025 MS 15 <br />SACRAMENTO CA 95812-4025 <br />39 -AA -0022 RTN TO GB <br />❑ Agent <br />❑ Addressee <br />by (Prinfed Name) C. Date of Delivery <br />D. ery address diff m item 1? 11 Yes <br />If YES, enter delivery add ow: ❑ No <br />3.S�Wce 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 3946 8756 <br />(transfer from service label) _ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />