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■ Complete items 1, 2, and 3. Also complete A. Si ature <br />item 4 if�igecj�Deljlry s desired. �_ j6 ❑ Agent <br />■ Print yo r�a�TMnanEjj abU++}}��s� on the reverse l-��'ry ❑ Addressee <br />;,,that we can return the to You. V1 �$eceived by nted N . Date of Delivery <br />■ Attach this card to the b k q it GO <br />or on the front if space p� 1 t <br />D. Is delive "�rent,from,� <br />1.' Article Addressed to: If YES, e u I � ' I �V1 No <br />JAN 21 <br />John Thomas <br />Holt of 'California 3. Service Ty <br />P. 0. Box x d1511'k" WPW W <br />CA 95813-1306 gisied it <br />Sacramento, ❑ Registered ❑Return Receipt for Merchandise <br />Santa Fe Road Disposal Site-Rtn-NS ❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service /a 7007 1490 0003 8803 0055 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />