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Postal <br /> o RECEIPT <br /> 17- CERTIFIED <br /> Domestic Mail Only <br /> Lr) <br /> It For delivery information, <br /> f— Certified Mail Fee <br /> r-q $ 1-11-11 <br /> Extra Services&Fees(check box,add fee as 8pria <br /> r=l El <br /> Retum Receipt(hardcopy) $ <br /> M ❑Retum Receipt(electronic) $ Postmark <br /> C3 <br /> C3 ❑Certified Mail Restricted Delivery $ — Here <br /> 0 ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery S <br /> MPostage <br /> M $ LODI PUBLIC WORKS <br /> i-q Total Posta PO BOX 3006 <br /> 17-9 $ent To LODI CA 95241-1910 <br /> � Street and, • <br /> [ti <br /> ----------- <br /> City,State, <br /> :. i15 PSN 7530-02-000-904 <br /> LPS Form <br /> COMPLON ON DELIVERY <br /> COMPLETE • <br /> ■ Complete iterl 2,and 3• A. Signet e ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. ived by(P me Na e) Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, aiA l Z 3 III <br /> or on the front if space permits. Gy L0 em 12 11 es <br /> 1. Article Addressed to: D If Y e d dela a r Mw: ❑ No <br /> LODI PUBLIC WORKS <br /> PO BOX 3006 JAN 2 5 F11LODI CA 95241-1910 <br /> [Nyjjj()NNn--N1-A1, HFAITH <br /> P.cL-mq Wq-mm Q+n: S L 3. service ftI)A 11T NI E N T ❑Priority Mall Express@ <br /> II I'III'I I'II I'I I III II I'I I'IIIII I I I I I'III I I III ❑Adult Signature ❑Registered Mail"Cl Signature Restricted Delivery ❑Regry <br /> istered R Mail Restricted <br /> ertified Mail® Delive <br /> 9590 9402 4394 8248 2711 85 ❑Certified Mail Restricted Delivery ❑Return Receiptfor <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery El Signature Confirmation <br /> T"' <br /> 9_ Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> I--klail Restricted Delivery Restricted Delivery <br /> 7018 1830 0001 6176 7567 3) <br /> Domestic Return Receipt . <br /> PS Form 3811,July 2015 PSN 7530-02-uuu-yWoo <br />