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Postal <br /> CERTIFIED o RECEIPT <br /> Domestic Mail Only <br /> Er <br /> rq <br /> 0 <br /> rr-1 CertifiedM <br /> ail Fee ..�� <br /> cO Extra Services&Fees(check box,add fee as appropriate) <br /> Q ❑Return Receipt(hardcopy) $ <br /> O ❑Return Receipt(electronic) $ \ Postmark�Y <br /> C3 F]Certified Mail Restricted Delivery $ ` Here <br /> ❑Adult Signature Required $) <br /> ❑Adult Signature Restricted Delivery$ <br /> C3 Postage <br /> Lr) $ HARPALCHARDAR ` \ <br /> 0 Total Postage anc <br /> $ RE: MANTECA DENTAL CARE <br /> ru sent To <br /> ru 1007 S MAIN ST <br /> E3 5`treef'andAj;N[ MANTECA, CA 95337 <br /> lti <br /> City-State,ZIP+4 Re: PR0546502 Rtn: PN <br /> - r - <br /> •Mr-,-F rt o�,SECTION COMPLETE . ONDELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print our name and address on the reverse X n ❑Agent <br /> so that we can return the card to you. t (, ^ ©D A❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. M _15 2 <br /> 1. Article Addressed to: D. Is delivery address diff ent from item 1? ❑Yes <br /> HARPALCHARDAR If YES,enter delivery address below: ❑ No <br /> RE: MANTECA DENTAL CARE <br /> 1007 S MAIN ST OCT 2 7 200' <br /> MANTECA, CA 95337 <br /> Re: PR0546502 Rtn: PN IIZON.NI FV 1 1. II" ` <br /> II I'(III III II I III III II I II I I I I III I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature El Registered MaiIT'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Pf Certified Mail@ Delivery <br /> 9590 9402 6099 0125 5580 08 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from servire Iahen O Collect on Delivery Restricted Delivery ❑Signature Confirmation- <br /> - <br /> vlail El Signature Confirmation <br /> 7021 0350 0000 8150 -0196 vlail Restricted Delivery Restricted Delivery <br /> —0)0) <br /> orm 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />