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Postal <br /> (DomesticCERTIFIED MAIL RECEIPT <br /> Only; <br /> CIO <br /> [Mrr I <br /> m <br /> ru Postage $ <br /> m <br /> _IJ Certified Fee <br /> ET" Postmark <br /> Return Receipt Fee Here <br /> u7 (Endorsement Required) <br /> O <br /> O Restricted Delivery Fee <br /> O (Endorsement Required) <br /> C.:,.I 1-1 W M B <br /> nru ATTN DAVE WOLDEN MS#22A <br /> 1001 I STREET <br /> CD PO BOX 4025 i <br /> r' SACRAMENTO CA 95812-4025 <br /> j l acarll.Y.lf 7lriFSi7R7.ir1Z-� <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete Re ��tiealivery <br /> 'L,-and 3.Also complete A. Signature <br /> item 4 if N tact is desired. X `- rPr,-1 �� nt <br /> ■ Print your name addiress on the reverse 1 Gw°" ❑Addressee <br /> so that we can return the card to you. B. Rec ' by(P. ted e) to of Delivery <br /> ■ Attach this card to[*e@a6k CT t?%$ilpiece, <br /> or on the front if space permits. ' <br /> D. Is del dress diffenen m Item 1? ❑Yes <br /> 1. Article AddressENVIRONMENT HEALI I i If YES,enter delivery add low: ❑ No <br /> PE R MI T/S E P V1 C E S <br /> C I W M B n <br /> ATTN DAVE WOLDEN MS#22A 9rC <br /> 1001 I STREET <br /> PO BOX 4025 i 3. Se ice Type <br /> SACRAMENTO CA 95812-4025 0Regi❑`Registered El Return Receipt for Merchandise + <br /> ❑ Insured Mail ❑C.O.D. <br /> i <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes '+ <br /> 2. Article NumberI <br /> (Transfer from service label) 7 0 01 2 510 0 0 0 5 9632 31,9 8 <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035 <br />