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Postal <br /> CERTIFIED o <br /> RECEIPT <br /> Domestic Only <br /> ra <br /> CID0 <br /> u7 Certified Mail Fee <br /> Extra Services&Fees(check bar,add tee as <br /> appropriate) <br /> C ❑ReturnReceipt(hardcopy) $0 C,^` I^� �� �❑Return Receipt(electronic) $ W V,(� <br /> Postmark <br /> p ❑ <br /> Certified Merl Restricted Delivery $ O <br /> E3 ❑Aden Signature Required $ v ,pHer <br /> ❑Adult Signature Restricted Delivery$ 1LG <br /> O Postage I—�I•LZ <br /> u7 $ <br /> C3Total Postage al JOSE R GONZALEZ <br /> 6171EHWY26 <br /> ti sent To STOCKTON, CA 95215 <br /> C $---- end Apt <br /> N <br /> -dm-AiWii,2iP+ Re: C00054568 Rtn: KS <br /> .. <br /> SENDER: COMPLETE • <br /> COMPLETE • • DELIVERY <br /> ■ Complete items 1,2,and A. Signature ❑Agent <br /> ■ Print your name and addr sfn�ie reverse X � _ �� ❑Addressee <br /> so that we can return the Card U. B. ceived (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 17 ❑Yes <br /> JOSE R GONZALEZ If YES,enter delivery address below: ❑No <br /> 6171EHWY26 <br /> STOCKTON, CA 95215 <br /> Re: CO0054568 Rtn: KS <br /> 3. Service Type ❑Priority Mail Express® <br /> II I IIIIII IIII II I IIIIII�I II I II II IIII II IIII III G Adult Signature ❑Registered MailT <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Wf Certified Mail® Delivery <br /> 9590 9402 6099 0125 5592 58 ❑Certified Mail Restricted Delivery O Return Receipt for <br /> C]Cc <br /> on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery C12. Article Number(Transfer from service label) Signature Confirmation— <br /> nail ❑Signature Confirmation <br /> Awl <br /> Delivery Restricted Delivery <br /> 7021 0350 0000 8150 1131 n) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br />