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Y <br /> SENDER: <br /> m I alsto receive the <br /> 'R ■Complete items 1 andr or additional services. +4� <br /> u) ■Complete items 3,4a, b. follo ,,services(for an <br /> m ■Print your name and ao7Mss on the reverse of this form so that we can return this extra fee): <br /> card to you. d <br /> j ■Attach this form to the front of the mailpiece,cr on the back it space does not 1. ElAddressee's Address o <br /> m permit. 2.1 <br /> ■Write`Return Receip!Requested`on the mailpiece below the article number. 2. EJ Restricted Delivery rn <br /> -r- Retum Receipt will show to whom the article was delivered and the date <br /> C delivered. Consult postmaster for fee. EL <br /> o 4) <br /> v 3.Article Addressed to: 4a.Article Number d <br /> CL 3066 4b.S rvice TyVe <br /> E LINDEN COUNTY WATFR DIST#5 ❑ Registered Certified cr <br /> (n <br /> ATTN TERESA TANAKA,GEN MGR <br /> Cn P.O.BOX 595 ❑ Express Mail ❑ Insured c <br /> in <br /> LINDEN CA yS�9G ❑ Return Receipt for Merchandise ❑ COD <br /> a7.Date of Delivery <br /> z � o <br /> =) 5. Received By: (Print Name) / 8.Addressee's Address(Only if requested � <br /> Q �C/?EI"' M�✓ C/ �>f d ! and fee is paid) F- <br /> 6. <br /> 6.Sign�ure: (Addresse or ent <br /> o X <br /> N <br /> PS Form 3811, Decenjpei 1994 Domestic Return Receipt <br />