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Postal <br /> CERTIFIED MAILR; RECEIPT <br /> m Domestic Mail Only <br /> Er- <br /> co 77 <br /> —0 Certified Mail Fee �'�►?� 2(0 <br /> o $ t�nO.iled CIL2,1 <br /> m Extra Services&Fees(check bar,add tee as appropriate) c ,ted (pt 1 u.O��- <br /> ❑Return Receipt(hardcopy) $ <br /> ❑Return Receipt(electronic) $ Postmark <br /> �, ❑Certified Mail Restricted Delivery $ M Here <br /> r-U ❑Adult Signature Required $ <br /> Ln ❑Adult Signature Restricted Delivery$ <br /> Postage <br /> C3 <br /> rzi <br /> r` <br /> 0 BLACK VEAR DINER - LODI <br /> 2347 W KETTLEMAN LN <br /> LODI CA 95242-4120 --------- ------- <br /> U') Re: PR0535248-HMBP Rtn: NIL <br /> COMPLETESENDER: COMPLETE THIS SECTION SECTIONON DELIVERY <br /> ■ Complete ite t 3. A. Si ur <br /> ❑Agent <br /> ■ Print you Tadre-,jollreverse ❑Addressee <br /> so that w Ml�,sdelive <br /> ( me am C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. di Yes1. Article Addressed to: f YES, t 1 No <br /> JAN 2,0 2026 <br /> BLACK VEER DINER - LODI NTAL HEALTH <br /> 2347 W KETTLEMAN LN 3. Service Type DERARTMIMMity Mail Express© <br /> LODI CA 95242-4120 ❑Adult Signature ❑Registered Mail- <br /> 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Re: PR0535248-HMBP Rtn: NL K Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ■Signature Confirmation— <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> Mall <br /> 9589 0 710 5270 3096 8933 86 Mail Restricted Delivery <br /> ooi <br /> Domestic Return Receipt <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 <br />