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Postal CERTIFIED o RECEIPT Domestic Mail Only ..n M o 7 FFICIAL US Certified MailFee Er M Extra Services&Fees(check box,add tee as appropriate) O M p ay)c p ❑Return Receipt(hardcopy) $ M ❑Return Receipt(electronic) $ O []Certified Mail Restricted Delivery $ Here IJ ❑Adult Signature Required $ (1 EJ E] Q\Adult Signature Restricted Delivery$ CnM {—C l� C:I Postage &- r-q $ SUTTER VALLEY HOSPITALS DBA SUTTER TRACY co Total Postage an COMMUNITY HOSPITAL $ 1420 N TRACY BLVD Sent To ru TRACY, CA 95376-3497 Street and Apt.IV, 17- Re: PR0231736 Rtn: CP Ciry,State,ZIP+4 :rr r rr rr•r - - COMPLETECOMPLETE • • DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse XMAD ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes ,UTTER VALLEY HOSPITALS DBA SUTTER TRACY If YES,enter delivery address below: ❑ No COMMUNITY HOSPITAL 1420 N TRACY BLVD TRACY, CA 95376-3497 Re: PR0231736 Rtn: CP I I I I I III II I III III II I I II I I IIII I I 3. Service Type ❑Priority Mail Express ❑Adult Signature p Registered MaiIT'" dult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail@ Delivery 9590 9402 6099 0125 5837 65 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- Mail ❑Signature Confirmation 7020 1810 0000 3999 0364 Mail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt