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R• <br /> .a SENDER: I afs sh to receive the <br /> • Complete items 1 ar for additional services. <br /> Complete items 3, a &b. following services {for an extra c0i <br /> • Print your name and address on the reverse of this form so that we can fee): 9 <br /> y return this card to you. <br /> 1p <br /> • Attach this form to the front of the mailpiece,or on the back if space 1. El Addressee's Address fn <br /> does not permit. « <br /> t • Write"Return Receipt Requested"on the mailpiece below the article number. z ❑ FjgStricted Delivery Q <br /> • The Return Receipt will show to whom the article was delivered and the date •� <br /> o delivered. Consult postmaster for fee. <br /> m 3_ Article Addressed to: 4a. Arti0Q,N ber <br /> LINDEN COUNTY WATER DIST#5 4b. Service Type <br /> E ATTN: TI;RESATANAKA ❑ Registered ❑ Insured <br /> P.O. SOX 595 %_Certified ❑ COD as <br /> LINDEN,CA 95236 3x66 D Express Mail ❑ Return Receipt for 5 <br /> pC Merchandise o <br /> 7. Date of Deilveey <br /> 5 Signature IAddressee�t _ 8. Addressee's Address (Only if requested <br /> ,{/•Yp „I �, and fee is paid) <br /> LU <br /> 6. Signature (Ager ) ~ <br /> PS Form 3811, December 1991 *U.S.GPO: aes--W2ai4 DOMESTIC RETURN RECEIPT <br />