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LT) <br />r <br />a <br />a <br />■ <br />X <br />PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />For delivery information, visit our website at www.usps.com' <br />PS Form 3800, January 2023 PSN 7530-02-000-9047 See Reverse for Instructions <br />COMPLETE THIS SECTION ON DELIVERYSENDER: COMPLETE THIS SECTION <br />I <br />2. Article Number (Transfer from service label) <br />5270 cam oaas as <br />ru <br />co <br />I-NV IRONMEN I AL HEALTH <br />DEPARTMENT <br />Postmark <br />Here <br />cO <br />Ln <br />tr <br />cn <br />co <br />2T <br />cQ <br />O <br />llllllllllllllllllllllllllllllllllllllllllll <br />9590 9402 7574 2098 7967 56 <br /> Agent <br /> Addressee <br />C. Date of Delivery <br />MANTECA DENTAL CARE <br />1007 S MAIN ST <br />MANTECA CA 95337-5703 <br />RE: PR0546502-HW RTN: MS <br />A. Signature <br />B. Repaved by (Printed Name) C. Date of Deliver <br />v RflQ^iyrpI I <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: No <br />JAN 2 1 2025 <br />EO <br />3. Service Type <br /> Adult Signature <br /> Adult Signature Restricted Delivery <br />JgLCertified Mail® <br /> Certified Mail Restricted Delivery <br />’□ Collect on Delivery <br /> Collect on Delivery Restricted Delivery <br />~ ’ Mail <br />Mail Restricted Delivery <br />jOO) <br /> Priority Mail Express® <br /> Registered Mail™ <br /> Registered Mall Restricted <br />Delivery <br />Jgl^ignature Confirmation™ <br /> Signature Confirmation <br />Restricted Delivery <br />I f A II I ‘ 11 <br />pr^ate) <br />■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we eaQ upturn the card to you. <br />■ Attach this card'to the back of the mailpiece, <br />or on the front if space ptermlts. ________ <br />1. Article Addressed to: <br />U.S. Postal Service™ <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />G F <br />Certified Mail Fee <br />$ ___________ _ <br />Extra Services & Fees (check box, add fee as appt <br /> Return Receipt (hardcopy) $ <br />O Return Receipt (electronic) $ <br /> Certified Mail Restricted Delivery $ <br /> Adult Signature Required $ <br /> Adult Signature Restricted Delivery $ <br />Postage <br />$ <br />TbtaTi <br />MANTECA DENTAL CARE <br />6. .. 1007 S MAIN STStreet <br />....... MANTECA CA 95337-5703 <br />■C/Ot S RE. PR0546502-HW RTN: MS