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3NIl 0311001V OIOd'SS3HOOV NH(L3H 3H1 do <br />1H0IH 3H1013d013AN9 d0 dOl 1V H2NOLLS 30V1d <br />■ 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. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />NEREIDA LOPEZ <br />5458 BLACKOAK DR <br />STOCKTON CA 95212 <br />39 -CR -0033 RTN TO NS <br />RE 3517/3519 S MOURFIELD, STKN <br />ac i Unit <br />l <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />QCertified 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 7006 0810 0000 6564 5622 <br />(transfer from service label) _ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />