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Postal <br /> o - MAIL. RECEIPT <br /> u'1 <br /> (Domesticru Only, <br /> For delivery information visit our d <br /> r=i � USE <br /> website <br /> M �r PoBtage $ <br /> M Certified Fee <br /> C:3 <br /> C3 Re&m Reeiept Fee Postmark <br /> C3 (Endorsement Required) Here <br /> i1-3 Restricted&INmy Fee <br /> ,a (Endorsement Required) <br /> ru <br /> ru Total PosVe 8 Fees <br /> M <br /> O"ToPTP <br /> t --------------- <br /> Apt.Na; <br /> or POEwrNo. !�/- <br /> Cily <br /> -45i to,ZlP+4 <br /> PS Form 3800,June 2002 See Reverse ior Instructions MELIVERY <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3.Also Complete A.AS' nalur <br /> / 1/ <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. 66. Rec r1jq by(Print Name) C. Date of Delivery <br /> ■ Attach this]r�tttl�p l�p�pf the mailpiece, <br /> or on the{ nnn ale�x41l�ittS. I. ,t . <br /> D. Is deli i ❑Yes <br /> 1. Article Addressed to: If YE ,e e e re ❑No <br /> M HAMZEII Y MUTAN PTP ENVIRONMENT HEALTH <br /> 111 QUINTAS LANE 3. Mica J T a <br /> MORAGA CA 94556Certified Mail 13Express Mail <br /> ,❑TRegistered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7003 2260 3003 3186 0250 <br /> (Transfer from service label) <br /> Ps Form 3811,February 2004 Domestic Return Receipt 1/,) g -a- —102595-02-M-1540 <br />