Laserfiche WebLink
Postal <br /> DomesticCERTIFIED MAILD RECEIPT <br /> -- <br /> Er <br /> nj <br /> Ln Certified Mail Fee NOn.. <br /> CC>mQ`,OWNC& <br /> "0 Extra Services&Fees(check box,add tee as appropriate) <br /> ❑Return Receipt(hardcopy) $ 1e <br /> E3 ❑Return Receipt(electronic) $1'►ALL Postmark <br /> C3 ❑Certified Mail Restricted Delivery $ on Here ^y., <br /> C3 ❑Aduk Signature Required $j�J_b�L� �ec'o�(� h V)`Ce <br /> ❑Adutt Signature Restricted Delivery$ G%" 1�. <br /> tfA <br /> p Postage Ute` v2•V2,Z2 <br /> m0 Total Postage an LODI MEMORIAL HOSPITAL <br /> $ 975 S FAIRMONT AVE <br /> sent To <br /> ni LODI, CA 95240 <br /> D StieetandApt tVc <br /> N <br /> City state,ZIP+4 Re: PR0231331 Rtn:VVL <br /> :rr r •r. - <br /> COMPLETE SECTIONCOMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3. ?Received <br /> nature ' <br /> ■ Printyo dr a reverse tk'aV '�(� �/� � ) t Agent <br /> Sl that r he Ir o u. � Addressee <br /> ■ Attach tFtlTc dZd'th8 bac o e mailpiece, by(Printed Name) C. D to of Delivery <br /> or on the front if space permits. <br /> 2 <br /> 1. Article Addressed to: D. Is d GIt es <br /> If Y rii F��Fi j i/t No <br /> LODI MEMORIAL HOSPITAL -- <br /> 975 S FAIRMONT AVE <br /> LODI, CA 95240 DEC 19 2022 <br /> Re: PR0231331 Rtn:VVL I r <br /> 3. Service Typ R 5ty Mail Express® <br /> II I I IIII IIII II I II I II II I I IIII I I II I IIII III ❑Adult Signature ❑Registered Mai <br /> ❑Adult Signature Restricted Delivery ❑Registered Maill Restricted <br /> oRo5ertifiedMaM Delivery <br /> 9590 9402 6743 1060 8622 61 O Certified Mail Restricted Delivery ❑Signature ConfirmationTM <br /> El Collect on Delivery El Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> vlail <br /> 7021 0350 0 0 0 0 8150 2978 fail Restricted Delivery <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt ; <br />