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P 24 <br /> ATTN JAMES E BRATHOVDE CHG <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Defivery Fee <br /> Retum Receipt Showing to <br /> r Whom&Date Delivered <br /> 0. Retum Receipt Showing to Wham, <br /> D te,h Addressee's Address <br /> p TOTAL Postage&Fees $ <br /> co <br /> C* Postmark or Date <br /> 0 <br /> tL <br /> to <br /> m SE I a sh to receive the <br /> o ■ Ot s ndlor z for a ditio or toiiowi g se 'ic!#e�s for an <br /> 0 r■Complete items 3,4a,and 4b. so a w retu is extra fee):�V(r �, 9 � a; <br /> a► ■Print your name and address on th ve f <br /> card to you. t 1. ❑ Addressee's Address <br /> .Attach this form to the front of the '1 iec <br /> permit. <br /> m: ■ eReturn Receipt Rthe mailpia b 1 the article nu er. 2. 0 Restricted Delivery a <br /> M m the article w livered and the date Consult postmaster for fee. <br /> ■The Return Receipt will show to who <br /> delivered. d <br /> o <br /> 0 .Article Number Q <br /> m 3.Article Addressed to: <br /> � <br /> a ATTN JAMES E BRATHOVDE CHG 4b.Service Type m <br /> E CENTRAL VALLEY REGIONAL [I Registered, <br /> Certified � <br /> WATER QUALITY CONTROL BOARD p Express Mail <br /> j insured S <br /> 3443 GOUTIER RD STE A ❑ Retum Receipt for MerChandi ❑ COD c <br /> G SACRAMENTO CA 95827-3098 7.Date o c <br /> a. <br /> Z ' Y <br /> 8.Addressee' dress(Only if requested c <br /> m <br /> 5.Received By: (Print Name) and fee' t <br /> � r <br /> x <br /> 3 6.Signature: (Addressee or Agen <br /> X"--A U-qL Domestic Return Receipt <br /> PS Form 3811, Dece bar 1994 <br />