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N. SE I also wish to receive the <br /> • om ms andlor 2 1ne ervices {for an extra � <br /> • pl a ite 3,and 4a&b. fDAW FEB 2 3 SR <br /> 9) a Print your name and address on the reverse of this form so that we can 1 n Addressee's Address <br /> You space <br /> m return this card to yoor on the back if spa <br /> m • Attach this form to the front of the mailpiece, 2 LI Restricted Delivery 0 does not permit. v <br /> • write"Return Receipt Requested"on the antic a be4ow the article num to Consult postmaster for fee. 0 <br /> +• • The Return Receipt will show to whom the article was delivered and the date C <br /> o delivered. 0.a. Article Number <br /> 3. Article Addressed to: <br /> CHG 4b. Service Type <br /> rt a JAMES E BRATHOVDE Registered ❑ Insured <br /> ❑ E VALLEY REGIONAL ❑ GOD <br /> Q G CENTRAL BOARD Certified <br /> 0 WATER QUALITY CONTROL Express Mail Return <br /> Receipt for <br /> � Merchandise w <br /> 3443 ROUTIER RD95827-3098 <br /> i` i o SACRAMENTO CA �t� � 6 0 <br /> T <br /> : Q S. Addresse 's ddress(Only if requested c <br /> fTt • and fee i p i 1� S. Signature (Addressee? <br /> N � <br /> f- <br /> 6. Signature fAgentl <br /> PS Farm 3 11. December 1991 *U.S.GPO:1993-352-7f4 <br /> p EST1C RETURN RECEIPT <br /> A <br /> H <br />