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Postal <br /> CERTIFIED o <br /> RECEIPT <br /> M Domestic <br /> M <br /> a For delivery information,visit our website at www.usps.com". <br /> Ln <br /> 4F...,Y iR 8` `"f9 Ftiso-+: 4�a✓ w.'a <br /> r q Certified Mail Fee <br /> rq $ -rn Spec-i o n <br /> D Extra Services&Fees(check box,add rise as appropriate) <br /> ❑Retum Receipt(hardcopy) $ 12e-p o r <br /> E)Retum Receipt(electronic) $ py� <br /> ul <br /> C ❑certined Man Restricted DeWery $ 1-1-36 a q- <br /> C ❑Adult Signature Required $ S a 1 O' 1 -19 <br /> C3 []Adult Signature Restricted Delivery$ <br /> o Postage <br /> M $ THE FIRESIDE INN <br /> co Toter) <br /> a PO BOX 396 <br /> E0 Sen'" LATHROP CA 95330-0396 <br /> p Si�eei <br /> `` SSS L1 �.o. �cO <br /> crit',-? Re: PR0541591 Rtn: NL ----------- p <br /> SENDER: COMPLETE THIS SECTION 11 COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. e p ivedtint d e) . DatQ f D eii�e'ry� <br /> ■ Attach this card to the back of the mail lece, I < <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑ es <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> 41=U <br /> THE FIRESIDE INN <br /> PO BOX 396 IAN 2 1 2029 <br /> LATHROP CA 95330-0396 <br /> 3. Service Type <br /> Re: PR0541591 Rtn: NL OQ Certified Mail ❑Express Mall HEALTH <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 018 1830 0001 611,7 <br /> (transfer from se <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />