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C- <br /> ,� S 27.111.w <br /> I `' dlor 2 f r additional services. 11 ISO wish t0 reCeiVe the <br /> m ■ plate aems'3,4a,and 4b. following services(for an <br /> w ■Print youurr name and address on the reverse of is torr so t t his r> ' ��� <br /> 2 rd to u. ; m <br /> Attach this form to the#root of the mailpiate, r p i. A dressee's Address <br /> (permit. <br /> Write'Retum Receipt Requested'on the mail low a article n bar. 2. ❑ Restricted Delivery <br /> The Ratum Receipt will show to whom the erode was dative th date « <br /> delivered. t. �.,r„y . Consult postmaster for fee. <br /> 0 <br /> 3.Article Addressed to: a le Numb;, _. <br /> cc <br /> Ln <br /> -n EXECUTIVE OFFICFR �4b.Service Type ' <br /> CENTRAL VALLEY REGIONAL p Registered Certified °C <br /> Er WATER QUALITY CONTROL BOARD IVP Express Mail ❑ Insured c <br /> I <br /> rrn 3 4 4 3 ROUTIER RD STE A p Return Receipt for Merchandise ❑ COD ' <br /> t. SACRAMENTO• CA 95827-3098 7.Date of Delivery <br /> � Y r <br /> C 11, t AR <br /> Ar 5. Received 8y: (Print Name) 8.Addressee' ddress(Only if requested c <br /> and tee is ai J r <br /> 1 6.Signature:(Addresseelo Agent) �� <br /> . X <br /> PS Fo 811, December 1994 Domestic Return Receipt <br />