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r <br />� d <br /> o SENDER: 3 9_ 19 –CSD I also wish to receive the follow- <br /> N E3Complete items 1 and/or 2 for additional services. Ing services(for an extra fee): <br /> d Complete items 3,4a,and 4b. <br /> ❑Print your name and address on the reverse of this form so that we can return this ai <br /> > card to you. 1. ❑ Addressee's Address V <br /> ` o Attach this form to the front of the mailpiece,or on the back if space does not <br /> m permit. 2• ❑ Restricted Delivery m <br /> « d Write'Return Receipt Requested'on the mailpiece below the article number. <br /> ❑The Return Receipt will show to whom the article was delivered and the date a <br /> p delivered. ar <br /> 3.Article Addressed to: -- <br /> CIWMB 7001 2510 0005 9632 0876 <br /> ATTN KEITH KENNED b.Service Type <br /> PERMITTING &ENFORCEMENT MS 1 Registered <br /> Certified <br /> =tvl, E� y <br /> PPO BOX 4025 Cor Merchandise ❑COD <br /> II�SACRAMENTO CA 95814-4025 Date of DeliYery — w <br /> 2002 C <br /> 5.Received By: (Print Na 8.Addressee's A ft�sj if ested acrd c <br /> M� ITH <br /> W �•.,�� F <br /> N 6.Signature( NOW r e PERMIT/SERVICES <br /> N <br /> PS Form 381 ,-b ieictni 6Trf 102595-99-a-0223 Domestic Return Receipt <br />