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us Pci§ta)Se L <br /> Receipt for _�sfied Ma <br /> ACU IVF pFEICER <br /> CENTRAL VALLEY RiwIQNAL <br /> WATER QUALITY CONTROL BOARD <br /> 3443 ROUTIER RTS STE A <br /> SACRAMENTO CA 95827-3098 <br /> Postage <br /> Certitied Fee <br /> Sinal Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> MReturn Receipt Showing to <br /> 01 r- Whom&Date Dalivered <br /> 'E RetumRaceipt5aov+. toWham, <br /> d Da.&AtMiresseds Address <br /> p TOTAL Postage&Fees <br /> Co <br /> M Postmark of We <br /> LL�0� 7fnP <br /> andfor late �dditionaf sevices,. . m $,and 4a db. <br /> also <br /> i + Print your name and address on the fevers aft wish to or ane the <br /> return this card to you. form following Services for <br /> m + Attach this form we can a). t an extra <br /> ~ does not parrmt, to the front of the maiipiece, r a <br /> 1. <br /> IS • Write `Return Receipt Requested— S d reSS +� <br /> O + The Return Receipt will to an the maffP ce belo Ui <br /> delivered. whom the article tO a is tuber. <br /> Al ed nd the date ❑ Restricted Delivery <br /> Tr 3. Article Addressed#o. as <br /> Consult postmaster for fee <br /> EXECUTIVE OFF 4 . A I le Nu r o <br /> cam„ - <br /> �a�#Az, VALLEY REGIO <br /> NAL <br /> 4b� Service Type ` m <br /> WATER QUALITY Ct�NTRC�IF BQ:t�RL"t 0 Registered' <br /> i 3443 RC)rJT'IF{ %press <br /> C1 Insured ac <br /> t `�' ertified COD �S'ACR&MENTC) CA 95827-3098 Mail tL3 Return Receipt for � <br /> t <br /> i?ate of Merchandise <br /> cr�--�.� _. gQ4v%ryrl, 4, a.. <br /> . Signature (pkddressee} L' <br /> I <br /> }— Y 8. andfee <br /> e s Address itaniy if requested, <br /> w <br /> 6- Sig lure (Agent) p id) <br /> C- <br /> `DS For 11,Qece bar 1991 �u.s opts,tag <br /> a—a�a eta D ESTlC RETURN RECEIPT <br />