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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> Item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your rntadrq ( the reverse X 13 Addressee <br /> so that we u e o you. B. Received W$A*ted Nemo) C. Date of Delivery <br /> ■ Attach this card to the f tiv ail i <br /> or on the front if space <br /> 1. Article Addressed to: D. Is d �� _ ? IJ Yes <br /> If Y ,enter delivery address below: ❑No <br /> APR 0 z LIiU9 <br /> Margie Comotto EfVVI�Lit+1i�+Ei'u HEALTH <br /> ' <br /> CIWMB-MS 10A-15 <br /> P.O. Box 4025 3. S rvice <br /> Sacramento,:CA 95812-4025 Ce,Ned Mall E3 FVress Mail <br /> North Coin Recycling Ctr-N.S. ,(�Registered 13 Retum Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7008 1830 0004 8693 5811 <br /> (transfer from service labeq <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />