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i <br /> Postal <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> 1 CERTIFIED MAIL RECEIPT <br /> ■ Complete items 1,2,and 3.Also complete A. Signature M (Domestic Mail • <br /> item 4 if Restricted Del isMdidX nly,-No Insurance Coverage Provided) <br /> 0 Agent c■ Print your name an rse ❑Addressee C3 <br /> so that we can retu B. Re6eived b (Printed Name) C. Date of Delivery r3 <br /> ■ Attach this card to the back oece, �. <br /> or on the front if space permits. <br /> D. Is eliv a nF 'r c-G <br /> IC a7 <br /> 1. Article Addressed to: ? ❑Yes <br /> If YES,enter delivery address below: ❑No 0 Ger/fled Fee <br /> SEP 3 0 2013 C3 Return Receipt Fee o ma <br /> KEVIN CLUTTER o (Endorsement Required) <br /> IMPERIAL WESTERN PRODUCTS Restricted Delivery Fee <br /> ENVIRONMENTAL HEALTH C3 (Endorsement Required) 3c)-1 <br /> 3766 E CONEJO AVE w <br /> SELMA CA 95662 3. Service Type "� KEVIN CLUTTER <br /> rtified Mail ❑Express Mail <br /> 23 Registered ❑Return Receipt for Merchandise o IMPERIAL WESTERN PRODUCTS <br /> ❑Insured Mail ❑C.O.D. CI 3766 E CONEJO AVE <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes SELMA CA 95662 ------------------ <br /> 2. Article Number <br /> (Transfer from service label) 7 010 2780 0000 6640 0843 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />