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Y <br /> 24 ]''364 303 <br /> INPIC <br /> CENTRAL"N'VALLEY•:REGIONAL ,_I <br /> �,s _ :� <br /> WATER QUAii CONTROL 'BORAD <br /> 3443 ;RO;UTIER.-RD —STE A—A <br /> SACRAMENTO. _ CA-177-95827-=3098 <br /> Postage. F <br /> Certified,Fee , ? <br /> Special gelivsry Fee <br /> Restricted Delivery Fes <br /> LID <br /> ReturnReceipt Showing to <br /> Whom&flat.❑.livered <br /> to Whom, <br /> Retim <br /> Date&Addreswes Address � <br /> G TOTAL Postage&Fees $° <br /> co <br /> V) Postrnedc or Date - <br /> ]:r ;i' <br /> _ <br /> In a I I' I' <br /> a <br /> i $END I also wish to receive the <br /> v <br /> 0a 12 a or 2 or additional services. to110wjQq,$ rvjrre�(1 <br /> on ■Complete items 3,4a,and 4b. �Lt�,': 9Xtr8 FF9flaa66 '��// � <br /> w ■Print your name and address o Ura reverse ofjthis form so ca alum this y <br /> card to you. <br /> y ,■Attach this farm to the front h. r o t k' s 1. ❑ Addressee's Address <br /> permit. <br /> ■Write"Return Receipt Requ It ailplece el a article number. 2. ❑ Restricted Delivery rA <br /> •The Return Receipt will show to who !.he idle as delivered and the date <br /> � I' — consult postmaster for fee. <br /> delivered. � II u <br /> 4a.Article Number <br /> ATTN EXECUTIVE OFFICER *� 3 3 <br /> -,CENTRAL VALLEY REGIONAL <br /> a :° Y 4b.Service Type d <br /> 6 WATER QUALITY CONTROL BORAD ❑ Registered Certified <br /> & 3443 ROUTIER RD..«,&E A Insured '= <br /> rn ~� ❑ Express Mail ❑ <br /> SACRAMENTO CA 95827-3498 <br /> ❑ Return Receipt for Merchandise ❑ COO $ <br /> o 7.Date of Dei' a <br /> ED . 100 -t a" <br /> Z\ _ Y <br /> 5.Received B . (Print Name) ill 8.Addresses's Ad es (Only if req .sled <br /> W i <br /> and fee is id <br /> ddressee or ge II �YJ <br /> P5 1, December 19 <br /> jll Domestic Return Receipt <br />