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■ Complete ite 21 a�appd��� 3 At com lute A. signature <br />item 4 if Res I @IWi�^ry sired. X <br />■ Print your no address�r the reverse <br />so that we can return the card to you. B. Received by <br />■ Attach this card to the back of the mailpiece, <br />or on the front if soaca.nnrmitc <br />RICHARD L EVANS AND KIMBERLY D EV. <br />C/O HELEN MCANALLY LF TRV.. <br />17333 COMCONEX ROAD <br />MANTECA CA 95336 <br />I" ervlce Type <br />I �Cedifled P <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />i 7? ❑Yes <br />�YMWIN <br />AUG Y 0 2012 � <br />IONMENTAL HEALTH <br />E�AtV19ESR <br />Fleturn Receipt or erchandise <br />❑ tl it ❑COD I <br />Insure Ma <br />4, Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 278_0 0000 6637 4229 <br />(transfer from service label) _ <br />PS form 3811. February 2004 Domestic Return Receipt 102595-02-M-1540 <br />