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Z 128 782 71:J <br /> us Postal Service <br /> receipt for Certified M. .:. <br /> No Insurance Coverage Provided. <br /> Do not use for international Mail See reverse <br /> ATTN EXECUTIVE OFFICER r <br /> CENTRAL-VALLEY REGIONAL <br /> WATER QUALITY CONTROL -BORAD; <br /> . 3443 ROUTIER.RD STE A <br /> SACRAMENTO CAI 958273098 <br /> Special"Delivery Fee <br /> Restricied Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered <br /> f '¢ Realm Receipt Showing to Whom, <br /> Q Dais,&Addressee's Address <br /> TOTAL Postage&Fees $ <br /> V) postmark or Date <br /> as N <br /> /3 us�� M. <br /> SENDER- ""■- - - - 'I also w'ish��to receive the <br /> ■ ms Complete item 1 ancvor 2 for additional services. u � following services{for an <br /> a ■Complete items 3,4a,and 4b. ' <br /> ■Print your name and address on the reverse of this torn so that we can retum this extra fee) <br /> card to you. 1.❑ Ac'dressee's Address <br /> ■Attach this form to the front of the mailpiece,or an the bads N space does not 2.❑ ggstricted Delivery y <br /> permit <br /> ■Write'Return Aeoeipr lP9wneqLmwecrto w on the article w below the darticteand number. Consult postmaster for fee. <br /> ■The Return Receipt wril,�ow to whom the article was delivered and the date <br /> £+ delivered. 4a,Article Number jl I <br /> ATTN <br /> EX <br /> ECVTFVE OFFICER <br /> CENTRAL VALLEY REGIONAL <br /> 4b.Service Type <br /> �i WATER QUALITY CONTROL BORAD [E:3 Regis tered ® Certified a t <br /> 3443 ROUTIER RD STE A ❑ Express Mail ❑ insured c <br /> SACRAMENTO CA 95827-3098 �I <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> 7. of ery II <br /> rt requested <br /> 5.Received B :(Print Name) <br /> B. ddressee's Address(Only, <br /> and tee is pard) it <br /> 6. na Addr ss Agent) I <br /> �i <br /> X lo25954e-B-om Domestic Return Receipt <br /> orm 11,Dece r 199A , <br />