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Postal <br /> CERTIFIED o RECEIPT <br /> 'a <br /> Domestic Mail • <br /> nly <br /> ro <br /> nu <br /> Q rte„ <br /> LP) Certified Mail Fee <br /> r $ N/►�or- <br /> cc Extra Services&Fees(check box,add fee as appropriate) WpM�Q`�01 h� <br /> O ❑Return Receipt(hardcopy) $ <br /> O ❑Return Receipt(electronic) $ Postmark <br /> C3 ❑Certified Mail Restricted Delivery $ n Here <br /> CD ❑Adult Signature Required $ �• 2 �Q�L� <br /> ❑Adult SignatureRestricted Delivery$ GM <br /> O Postage <br /> V"1 <br /> M TotatPostagearLODI MEMORIAL HOSPITALASSOC. INC <br /> $ RE:LODI MEMORIAL HOSPITAL <br /> r-1 Sent To 975 S FAIRMONT AVE <br /> ru <br /> 3treefandApEN LODI, CA 95240 <br /> N <br /> City State,ZIP <br /> +4 <br /> Re: PR0231331 Rtn:VVL <br /> NA 111 EVA ,, <br /> 3 <br /> SENDER: <br /> COMPLETE SECTION COMPLETE <br /> SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print youWa , <br /> everse X El Agent <br /> So that WC Addressee <br /> ■ Attach th17e <br /> ilpiece, B. Received by(Printed Name)711n <br /> Delive <br /> or on the front if space permits. Delivery <br /> 1. Article Addressed to: 21 Z <br /> D. Is delivery address different from Yes <br /> L-ODi MEMORIAL HOSPITAL.ASSOC. INC If YES,enter delivery address below: ❑No <br /> RE:LODI MEMORIAL HOSPITAL <br /> 975 S FAIRMONT AVE <br /> LODI, CA 95240 NOV O 7 2022 <br /> Re: PR0231331 Rtn:VVL NTAL HEALTH <br /> II I IIIIII I'll lil I Il ll it Il I I VIII I l I I II I III I III 3 Servic;Typf—ERM11Priority E <br /> Mall xpress® <br /> El Adult Signature ❑Registered l xpr+ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 6743 1060 8609 39 iv <br /> ❑Certif ed Mai Restricted Delivery ❑s gnature ConflrmationTm <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> 7021 0350 0000 815 0 2688-- 4j it Restricted Delivery <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br />