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Postal <br /> CERTIFIED <br /> i r ■ <br /> Ln (Domestic MailOnly; <br /> r— <br /> ru <br /> Postage $ 1 <br /> M <br /> Certified Fee <br /> M Postmark <br /> Return Receipt Fee Here <br /> p (Endorsement Required) <br /> C-1 Restricted Delivery Fee <br /> (Endorsement Required) <br /> C3 <br /> Total Postage&F <br /> Sent To <br /> Scott Haar <br /> r I __ 14900 W.Hwy 12 <br /> rl <br /> Street,Apt No.1. <br /> C3 or PO Box No, Lodi,CA 95242 <br /> City,State,Z1P' <br /> PS Form :rr August 2006 See Reverse for Instructions <br /> COMPLETE • ON DELIVERY <br /> COMPLETE <br /> f <br /> ■ Complete items 1,2,and 3.Aliso complete <br /> A. Signature 0 Agent <br /> item 4 if Restricted Delivery is desired. X 0 Addressee <br /> ■ Print your name and address on the reverse C. Date of Delivery <br /> so that we can return the card to you. B. Rec ived by tinted Na e) <br /> w Attach this card to the back of the mailpiece, <br /> or on the front if space permits. a r' nt from item 1? 0 Yes <br /> 1. Article Addressed to: <br /> It YES,enter delivery address below: 0 No <br /> DEC 2 0 2012 <br /> EN .ONMENTALHEALTF: <br /> Scott Haar <br /> 14900 W.Hwy 12 -s. a eypa <br /> CA 95242 Certified Mall 0 Express Mail <br /> 1 0(Ilr p Registered 0 Retum Receipt for Merchandise <br /> Re: 14900 W Hwy 12 UNIT 111 0 Insured Mail 0 G.O.D. <br /> 4. Restricted Delivery?(Edea Fee) 0 Yes <br /> 2. Article Number 7011 0420 0003 3840 8275 _ <br /> (Transfer from service labao - - 102595.02-M•1540 <br /> PS Form 3811,February 2004 Domestic Return Receipt <br />