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a <br /> U.S. Postal Service <br /> CERTIFIED MAIL RECEIPT Provided) <br /> (Domestic Mail Only,No Insurance Coverage <br /> a <br /> 1— Postage $ <br /> or <br /> Certified Fee <br /> IT Postmark <br /> _ Return Receipt Fee He. <br /> (Endorsement Required) <br /> O Restricted Delivery Fee <br /> p (Endorsement Required) <br /> - Total P <br /> r <br /> -0 Sent To ATrN DENNIS CALLAHAN <br /> r9 LODI PUBLIC WORKS <br /> P.O.BOX 3006 -------- <br /> r3 Street A LODI CA 95141-1910 <br /> O <br /> O Ci y,stat <br /> M1 <br /> ro SENDER: I als h to receive the <br /> 9 •Complete items i and4 .or additional services. foIIDWn+J services(for an <br /> w •Complete items 3,4a,and 4b. <br /> m •Print your name and address on the reverse of this form so that we an return this extra fee): ai <br /> card to you. 3 <br /> •Attach this form to the front of the mailpiew,or on the fick it space does not 1.❑ Addressee's Address .2 <br /> permit +� j❑ Restricted Delivery d <br /> O •Write"Return Receipt Requested'on the mailpierce°below the article number. to <br /> t m The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. $ <br /> delivered. —y <br /> 0 3.Article Addressed to: 4a.Article Number y <br /> 0017 IL-20 Oo12, 51141 ) ) c <br /> V A717N DENNIS CALLAHAN 41b.Service Type � <br /> E LODI PUBLIC WORKS ❑ Registered 10/certified <br /> u P.O.BOX 3006 <br /> LODI CA 95241-1910 ❑ Express Mail ❑ Insured c <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Del ,Q <br /> {� C) <br /> 0 <br /> T <br /> 5. Received By: (Print Name) 8.Addressee's Address(Only i/requested Y <br /> and fee is paid) 4 <br /> 6.Signature: (Addressee o gent) <br /> =o X <br /> PS Form 3811,De mbar 1994 102595-9e-B-0229 Domestic Return Receipt <br /> v <br />