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Postal <br /> CERTIFIED oRECEIPT <br /> o DomesticOnly <br /> Iv <br /> C3 <br /> Ln Certified Mail Fee <br /> co Extra Services&Fees(check box,add fee as appropriate) V—N4VeK <br /> 1:3 <br /> ❑Return Receipt(hardcopy) $��Y�����ry <br /> El Return Receipt(electronic) $'1-F--F� Postmark <br /> O ❑certified Mail Restricted Delivery $ n �nf`OV"ren�1(t,� <br /> ❑Adult Signature Required $ V C.7� <br /> ❑Adult Signature Restricted Delivery$ <br /> p Postage v <br /> L $ ADRIANA LOMELI <br /> E3 Total Postage anc RE: LOMELIS STATUARY <br /> a sent To PO BOX 1356 <br /> ru <br /> O $treetandApLNc LOCKEFORD, CA 95237 <br /> Re. PR0520023 Rtn: RL <br /> c)ry-sreie,ziP+a <br /> PS Form <br /> :rr April 2015r02-000-9047 See Reverse for Instructions <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Si re <br /> ■ Print your n s erse ❑Agent <br /> S o that we lard tp ❑Addressee <br /> ■ Attach this c a k o e mal lece, B• eceived by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is d ddr i it�1 Yes <br /> :t; f-�i\!{� !_i3ltiltLl If YE t�l'!!e s el No <br /> r' L OKAE�_i::;17JATUARY <br /> PO bOX 1_31=6 NOV 21 2022 <br /> LOCKEFORD, CA 55237 <br /> Re: PR0520023 Rtn: RL ENVIRONMENTAL HEALTH <br /> I I III II III II I Il I II lI II II I I'll I III Service Type ❑Priority Mail � <br /> nR <br /> C3 <br /> ❑Adult Signature ❑Registered MaIIaIITMTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ;nertified Mail® Delivery <br /> 9590 9402 6743 1060 8609 77 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationT'" <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> ❑Insured Mail <br /> 7021 0350 0000 815 0 2640 Ao'il Restricted Delivery <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />