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i_ <br /> I <br /> rn m t and/or 2 for addit nal rvices. I also wish to receive the <br /> m omplete items 3,and 4a&b. following services (for an extra 0 f <br /> Print your name and address on the reverse of i f o that we c n <br /> > return this card to you. fee) 3 A 1996 > f <br /> • Attach this form to the front o the mailpi t a µ V 1+7ti7fJ 1 <br /> m I 1. Addressee's Address a1 <br /> � does not permit. y <br /> L • Write"Return Receipt Request e "on theilpiece be the i le nu er. <br /> The Return Receipt will show to w e a ' le was eli d and the date 2. 11 Restricted Delivery i <br /> C delivered. 4T <br /> 0 Consult postmaster for fee. <br /> V 3. Article Addressed to: Ajr ' I Nu ber <br /> a � ` <br /> JAMES E BRATHOVDE CHG <br /> E CENTRAL VALLEY REGIONAL 4b. Service Type d <br /> ❑ Registered ❑ Insured cc <br /> 'WATER QUALITY CONTROL BOARD rn i <br /> L�Certified ❑ COD c <br /> C <br /> ROUTIER RD STE A y <br /> ❑ Express Mail ❑ Return Receipt for <br /> (SACRAMENTO CA 95827-30'98 Merchandise ) <br /> Q _1 7. D of D livery I( <br /> 'o <br /> CC;5. Signature (Addressee) 8. ddresse 's Address (Only if requested,Y <br /> and f i p i ro j <br /> LU, 6. Si n ture (Ag. �nt1 /--)h�-�C. <br /> 3 J <br /> HPS Form 3811, December 1991 *U.S.GPO:1993--352-714 DO STIC RETURN RECEIPT ' <br /> P : 379. ..7.65_ .728 - <br /> US Postal�� <br /> Rece a`T Tor 6e Q9 Mai! <br /> JAMES E BRATHOVDE CHG <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARDI <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO - CA 95827-3098 <br /> r <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee _ <br /> LO <br /> I <br /> Return Receipt Showing to s< . <br /> Whom&Date Delivered <br /> SL Retum Receipt Showing to Whom, <br /> i <br /> Q Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees $ <br /> Postmark or Date r <br /> tL <br /> CO - ) <br /> L <br /> iI <br /> i <br />