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Postal <br /> CERTIFIED MAIL@ RECEIPT <br /> Domestic Mail Only <br /> ru <br /> rtl or delivery information,visit our website at wimmusps.com". <br /> ED OFFICIAL USE <br /> Ln a Certified Mail Fee NO'n_ <br /> co $ <br /> Extra Services&Fees(check box,add fee as appropriate) <br /> O ❑ <br /> Return Receipt(hardcopy) $ cc()rr�/��,► <br /> ❑ <br /> Return Receipt(electronic) $ Postmefl�c'I^ <br /> []Certified Mail Restricted Delivery $ �� Here \Ic <br /> 0 ❑Adult Signature Required $4—i_rA_ <br /> ❑Adult Signature Restricted Delivery$ \--C dalle— <br /> v <br /> L Postage ��' 7 'v11.' ,Ql 22 <br /> u'I � <br /> C3Total Postage an, TONY VERDI <br /> $ RE: BLUE SHIELD OF CALIFORNIA <br /> ti sent To 3021 REYNOLDS RANCH PKWY <br /> Si'reetandApf.Nc LODI, CA 95240 <br /> 5ry-steta,21P+4 Re: PR0535625 Rtn: RL <br /> :rr r <br /> . . DELIVERY <br /> COMPLETE <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X �� f <br /> gent t <br /> so that we can return the card to you. Addr <br /> ■ Attach this card to the back of the mailpiece, B. R ceived by(Printed Name) C. D�of livery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes <br /> TONY VERDI If YES,enter delivery address below: ❑ No <br /> RE: BLUE SHIELD OF CALIFORNIA <br /> 3021 REYNOLDS RANCH PKWY <br /> LODI, CA 95240 <br /> Re: PR0535625 Rtn: RL <br /> 3. Service Type Q Priority Mail Express® <br /> VIII III II I III III II I I I III I I I I I G Adult Signature ❑Registered MailT <br /> ❑Adult SigRestricted <br /> Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 6099 0125 5598 76 El Certified Mail Restricted Delivery ❑Return Receipt for <br /> OCollect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery El Signature ConfirmationT"' <br /> 2. Article Number(Transfer from service label) _, ---1 Mail ❑Signature Confirmation <br /> viail Restricted Delivery Restricted Delivery <br /> 7021 0350 0000 81,50 2244 D) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />