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r <br /> SEN , �J�' <br /> w Co t it s n r 2 ora dition e / f / wish to receive the <br /> ' m • Complete items 3,and 4a&b. fo iC <br /> ` • Print your name and address on the re r f is orm so th we can feel: <br /> return this card to you. ) 4) <br /> N • Attach this form to the front of the ail r n t ck if spa a 1. El Addressee's Address N <br /> does not permit. ., r <br /> L • Write"Return Receipt Requested"on t ece bel t e rt number. 2. ❑ Restricted Delivery :a y <br /> " • The Return Receipt will show to whom the article s live ed and the date V e. <br /> c delivered. Consult postmaster for fee. 4 <br /> 3. Article Addressed to: 4 I X11 Number• • 067 <br /> JAMES E BRATHOVDE CHG 4b. Service Type l <br /> CENTRAL VALLEY REGIONAL ❑ Registered ❑ Insured c ! <br /> Certified El COD - <br /> WATER QUALITY CONTROL BOARD EReturn Receipt for { <br /> 3443 ROUTIER RD STE A Express Mail ❑ p <br /> Merchandiseo <br /> SACRAMENTO CA 95827-3098 7. Date of Delivery 3 <br /> i O <br /> Z _ 8. Addres a 's ress (Only if requested W i <br /> � 5. Sig ur (Addressee) c r <br /> and fee i p i R <br /> �CC4 at�(Age���� <br /> ,~ <br /> 1 <br /> Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT t <br /> N <br /> P. 321 093 357 <br /> -'�-�-� --MAILED APR-101996 1 <br /> US Poste-Service — .q <br /> heceipt for Ce Fail ! j <br /> No Insurance Covera ; <br /> Do not use for Intek e <br /> Sent to +_ 4 <br /> * Street&Numb' G�O��'' � <br /> Two-me <br /> Por �,, ��,, <br /> gy <br /> Q�► !owing to <br /> Or �, Delivered <br /> M C7 .♦Sh owig to Wham, <br /> Q Date;. 6*Ws Address <br /> O <br /> TOTAL Postage&Fees <br /> co <br /> Postmark or Date }_ <br /> CO) � <br />