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l <br /> r <br /> I <br /> n 5r <br /> t I V28 °:784;: 5-16 rte <br /> CJS Postal Service <br /> Recei #for Certified Mail " <br /> ATTN EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL r <br /> WATER QUALITY CONTROL BOARD <br /> 3443 ROUTIER RD STE A _ N <br /> #SACRAMENTO CA 95827-3098 1 <br /> r <br /> Postage $ <br /> Certified Fee <br /> ` i <br /> Spedal Delivery Fee <br /> Restricted Delivery Fee <br /> U) 7F <br /> Return Receipt Showing to I i t <br /> Whom&Date Delivered < ► <br /> L Return Receipt Showing to Whom, <br /> Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees <br /> r <br /> E Postmark or Date <br /> r <br /> 71 1� <br /> COMPLETEaCOMN ON <br /> ■ Complete items 1,2,and 3.Alli)Complete A. Received by(Please Print Clearly) B Date f Delivery <br /> item 4 if Restricted Delivery is desired. ZU <br /> ■ Print your name and addrQs3 on the reverse <br /> A C. Signatu I � <br /> so that'''�� d to you. <br /> ■ Attach tFiiS� doeack of the mailpiece, X <br /> �en <br /> or on the front if space permits. UNIT IV ee <br /> D. Is delivery address different from item 1? 0 Yes <br /> 1. ArticleAddressed to: If YES,entedelivery address below: 0 No <br /> ATTN EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL j 3.k.rtifii.dj'mail <br /> ice Type i <br /> I n Express MailWATER QUALITY CONTROL BOARD C3 Registered 1I6 Return Receipt for Merchandise ] <br /> 3443 ROUTIER RD STE A p Insured 'Mail E9 C.O.D. i <br /> # SACRAMENTO CA 95827-309$ 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number{Copy from service label) <br /> # /q 1 <br /> PS Form 3811,July 1999 Do es Return�Receip'i ,3 T 10259 - 0952' <br /> i I <br /> R► <br />