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MENTAL HEALTH DEPARTMOT • <br /> SAN JOAQUIN COUNTY <br /> 1868 East Hazelton Avenue <br /> Stockton,California 95205-6232 <br /> Return Service Requested <br /> C'W5 <br /> V� A I ILA V1'01 14 V6 <br /> art v crSENDER: COMPLETE THIS SECTION cofoPLETE THIS <br /> DELIVERY <br /> In Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed!Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> )LA- ON"t X0,111cr,s <br /> LV So v,�. AI0v ctw Av( <br /> (A 611ni-,711r <br /> i <br /> (I I II I)f I tII 3. Service Type ❑ <br /> II I II�I��ILII III I I(�I I I I III II I I I� ct s® <br /> ❑Adult Signature ❑Registered MaJITM l ❑ Restricted <br /> Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail(D Delivery <br /> 9590 9403 0406 5163 1378 67 ❑Certified Mail Restricted Delivery ❑ReturnReceipt for <br /> El Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" <br /> 2. Article Number(transfer from service label) --ured Mail ❑Signature Confirmation <br /> 7 018 1830 0001 6117 1807 ured Mail Restricted Delivery Restricted Delivery <br /> at$500) <br /> PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED D ■ ■ <br /> Domestic Mail Only <br /> cO cO For delivery information,visit our website at www.usps.com'. <br /> rq <br /> Certified Mail Fee `y <br /> r-q $ <br /> Extra Services&Fees(check box add res as appropriate) <br /> ❑Return Receipt(hardcopy) $ <br /> • r-q r-q ❑Return Receipt(electronic) $ Postmark <br /> O ® []Certified Mail Restricted Delivery $ Here <br /> o O ® ❑Adult Signature Required $ <br /> O lD ❑Adult Signature Restricted Delivery$ <br /> ® O Postage <br /> • M rrl $ <br /> CO ED Total Postage and Fees <br /> $ <br /> C13ra sen'T �� I �r'^ 1 1 <br /> r-q a l f t_ w___�i_ 11+1S <br /> O ® Str et dApf.No., rPd Box o. <br /> . '.6-----�--- U cu l 1--- VL----------------------------- <br /> c�ry,staffzl a^ r .4 <br />