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Postal <br /> (DomesticCERTIFIED MAIL,,., RECEIPT <br /> Provided) <br /> tr <br /> CD AAL USE171- <br /> M Postage $ <br /> M certified Fee <br /> r Postmark <br /> C3Return Receipt Fee <br /> 0 % Here <br /> (Endorsement Required) <br /> C3 Restricted Delivery Fee <br /> r-1 (EndorsementRequired) <br /> t.r► <br /> fU Total Postage&Fees $ <br /> Q fit To <br /> � �t Apt • <br /> or PO Box No. � <br /> j9-�..-- <br /> ' <br /> Clly,State.ZIR+4 •-•- C//v- - <br /> Q�JO <br /> See.Rrverse for InstructionsPS Form 3800,JUsio 2002 <br /> . DELIVERY <br /> SECTIONSENDER: COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A. Sig at re <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. eceiv Pint Na C ate of Delivery <br /> ■ Attach this card to the back of the mailpiece, p � / �D <br /> or on the front if space permits. em 1 Yes <br /> I d i <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> MICHAEL DOMINGUEZ SEP 12 2001 <br /> 24292 E. FREMONT STREET <br /> STOCKTON, CA 95205 ENVIRONMENT HEALTH <br /> 3. ,Sierrvice Type % <br /> [I Certified 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 7004 2 5.10 0003 3789 4144 <br /> (Transfer from service labeo <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />