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M Complete items 1 and/or itional services. I also w receive the <br />"a <br /> n Complete items 3,4a,a* following lw, as(for an <br /> N Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. ai <br /> wAttamitch front this form to the froof the mailpiece,or on the back if space does not <br /> 10 1. 11 Addressee's Address <br /> 4) wWperite'Retum Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery <br /> 6 E The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. I—,-I I Consult postmaster for fee. yp <br />-a 3.Article Addressed to: 4a.Article Number <br /> C <br /> CENTRAL VALLEY WASTE SERVICES 'fervice Type <br /> ATTN ALEX QSEGUERA legistered A,Certified Im <br /> PO BOX 241001 :Xpress Mail 0 Insured A <br /> R <br /> l <br /> i LODI CA 95241-9501 ,eturn Receipt for Merchandise 0 COD <br /> t +ate of Delivery <br /> C) <br /> 5.Recei d y:(Print Name) 8.Addressee' Address(Only if requested Ic <br /> and fee is paid) <br /> 6.Signature:(Addressee or Agent) <br /> X <br /> sw <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />