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Postal <br /> CERTIFIED MAIL@ RECEIPT <br /> m Domestic <br /> 0 <br /> O <br /> Lr) Certified Mail Fee <br /> r-=i <br /> w $ NODI <br /> Extra Services$Fees(check box,add fee as appropriate) <br /> C3 ❑Return Receipt(hardcopy) $ <br /> 0 Return Receipt(electronic) $, \ <br /> 0 Certified Mail Restricted Delivery $ Po tMark <br /> C3 0 Adult Signature Required $( l , Here <br /> ❑Adult Signature Restricted Delivery$ <br /> PostageLn <br /> C3 TotalPostagearSAN JOAQUIN GENERAL HOSPITAL Z\ <br /> $ 500 W HOSPITAL RD <br /> � Sent To FRENCH CAMP, CA 95231 <br /> St�eetandApt.N <br /> cfiysrate,ZIP+. Re: PR0231614 <br /> Rtn: LB <br /> r <br /> SENDER: COMPLETE THIS SECTION COii4P-t:7i--THiS SECTION ON DELIVERY <br /> ■ Complete1 3 A ig ture <br /> ■ Print your res heverse 13 Agent <br /> so that w t c ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, (Printed Name) IC. Date of Delivery <br /> or on the front if space permits. ),:? !9!2jjt�jo -1dZ111,uZ <br /> 1. Article Addressed to: D. Is delivery address different from Item 11 EI Yes <br /> SAN JOAQUIN GENERAL HOSPITAL If YES,enter delivery address below: ❑ No <br /> 500 W HOSPITAL RD <br /> FRENCH CAMP, CA 95231 <br /> Re: PR0231614 Rtn: LB <br /> II I III II III II I III III II I III III II I I I 3. Service Type 0 Priority Mail Express® <br /> Vdult <br /> ult Signature ❑Registered Mailrm <br /> Signature Restricted Delivery ❑Registered Mall Restricted <br /> ivery <br /> 9590 9402 6099 0125 5580 60 ❑Certified Mail Restricted Delivery 0 rtified lvlal@ Retum Receipt for <br /> 0 Collect on Delivery Merg4andise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivey��Signature ConfirmatlonTM <br /> Mail 0 Slgnat6re Confirmation <br /> 7021 0350 0000 81,50 0134 ,Moan Restricted Delivery Rttteted[Wlvery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Dom is Return Receipt <br />