NC0069370_NOVNOI2023LV0443_GRNCRD_20230705

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Certified Mail Fee
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Extra Services & Fees (check box, add Me as appropriate)
❑ Return Receipt (herdcopy) $
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❑ Return Receipt (electronic) $
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❑ Certified Mail Restricted Delivery $
Postmark
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[]Adult Signature Required $
❑Adult Signature Restricted Delivery $
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Total Postage and Fees
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5 Andria Dale
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s Brookdale Senior Living
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DBA Brookdale Hendersonville E
c 2601 Chimney Rock Rd --------
----------------- -------
N Complete items 1, 2, and 3.
■ Print your name and address onthe reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Andria Dale
Brookdale Senior Living
DBA Brookdale Hendersonville East
2601 Chimney Rock Rd
Hendersonville, NC 28792
IIIIIIIII IIII II1111111111111111111111111 III III
9590 9402 8109 2349 2435 86
2. Article Number (Transfer from service label)
7022 2410 0003 1436 8658
PS Form 3811, July 2020 PSN 7530-02-000-9053
A. Signature
gent
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�J�� ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
Q r.1.Z.,,,, �'1i ,..►1 07/05/2023
D. Is delivery' address different from item 1? ❑ Yes
If YES, enter delivery address below: JkNo
3. $eNice Type
� duIt Signature
❑Priority Mail Express
❑ Adult Signature Restricted Delivery
❑ Registered MaiITM
❑ Registered Mail Restricted
f-Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Signature ConfirmationTM
❑ Collect on Delivery
❑ Signature Confirmation
❑ Collect on Delivery Restricted Delivery
Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
NOV-2023-LV-0043 (RR) -- /3,
NCO069370 (HENDE) Domestic Return Receipt