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10 q <br /> �� r I also wish to receive the <br /> e nd or 2 for additions s Inges (fptralate items 3,and 4a&b. +Jj BUJ LL BUJ �7 `�a� <br /> HPrint your name and address on the reverse of this farm so that we c <br /> `m return this card to you. 1, ❑ Addressee's Address <br /> m <br /> 7 • Attach this form to the front of the mailpiece,or on the hack it space r <br /> m a <br /> does not permit. <br /> i m • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ ReStrlCted Delivery iD <br /> The Return Receipt will show to who the articie was delivered and the date Consult ostmaster for fee. CID <br /> O delivered. rf Cle N�irtrJ?er <br /> `l�D C <br /> 3. Article Addressed to: � <br /> «JAMES E BRATHOVDE CHG b Registered ❑ Insured c <br /> CENTRAL VALLEY REGIONAL Certified ❑ COD <br /> WATER QUALITY CONTROL BOARD Express Mail ❑ Return Receipt for <br /> 3443 ROUTIER RD STE A I Merchandise o <br /> SACRAMENTO CA 95827-3098 7. Date of elivery <br /> r O <br /> ti 5. Signature {Addressee} 8. Addresse s ddress{Only if requested c <br /> and fee ' p d} <br /> F � <br /> :6. �ig t a (Ag <br /> as <br /> P5 Form 3811, December 1991 au.s.GPate9a—sss-7aa OM STIC RETURN RECEIPT <br /> r <br /> US Postal Service <br /> JAMES E BRATHOVDE CHG <br /> CENTRAL VALLEY REGIONAL <br /> WWATER QUALITY CONTROL BOARD <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 ;. <br /> t <br /> r <br /> ..Postage y t. <br /> Certified Fee <br /> Special 0e1n Mary Fee - �- <br /> i <br /> { Restricted Delvery Fee . .i <br /> Ln — <br /> " rn Return Reoeipt Strowafg to <br /> t _ Whom&Offie Def VMd _ - <br /> RehlrnReceipt&VNkgtaWh=, *. ` <br /> a <br /> Date,&aadressee's address <br /> 0 TOTAL Postage&Fee's f; .`. <br /> CO Postmark or Date <br /> O 5 { <br /> co <br /> tl <br /> - e <br />