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a
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❑ Return Receipt (hardcopy) $
❑ Return Receipt (electronic) $
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❑ Certified Mail Restricted Delivery $
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❑Adult Signature Required $
[]Adult Signature Restricted Delivery $
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Postage
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Total Postage and Fees
q 1
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s$ en Andria Dale
1 /
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___. Brookdale Senior Living
-----------------------------
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srra dba Brookdale Hendersonville East
ciiy 2601 Chimney Rock Rd ------------------------------
Hendersonville, NC 28792
■ Complete items 1, 2, and 3.
JW Print your name and address on the 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
A. Si nature
X CK
gent
Addressee
B. eceived—bbyy (Pn t d ame> C. Date of Delivery
1S\/P/9r1176 PA f1
D. Is delivery address different from item 1? O Yes
If YES, enter delivery address below: ). No
II
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Adult
drt f SSnature
int rye Restricted Delivery
9590 9402 8109 2349 2450 23
t2f ed Mai
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
2. Article Number (Transfer from service labai
❑ Collect on Delivery Restricted Delivery
7022 2410 0003 1349 8127
7 Insured Mail
3
LV-2023-0234 (RR)
PS Form 3811, July 2020 PSN 7530-02-000-9053
NCO069370 (HENDE)
❑ Priority Mail Express®
❑ Registered Mailrm
❑ Registered Mail Restricted
Delivery
❑ Signature Confirmation"'
❑ Signature Confirmation
Domestic Return Receipt I
*Incorrect date. Date of delivery
is 09/14/2023