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Postal <br /> `a CERTIFIED MAIL@ RECEIPT <br /> Domestic Mail • <br /> For delivery information,visit our website at www.usps.com". <br /> Ln nly <br /> Certified Mail Fee NW-60M0;^race- <br /> E <br /> CO $ 4 l IP F�e�r Extra Services&Fees(check box,add fades appro dat -24�In Hcb.. <br /> C3 ❑Return Receipt(hardcopy) $ /YV C <br /> r ❑Return Receipt(electronic) $ I11 <br /> (:3 ❑Certified Mail Restrcted Delivery $ Here <br /> l3 ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ <br /> 0 Postage <br /> LO $ <br /> C3 Total F <br /> $ PO BOX 916 <br /> r-q sen"MERRILL OR 97633-0916 <br /> nu <br /> a Siieei <br /> --------- <br /> RE:PR054232 I-HMBP RTN: I IS <br /> :r� r ,r rr,• - - <br /> COMPLETE • COMPLETE <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. x �� ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B Rece d P' d Name C. Date of Delivery <br /> or on the front if space permits. <br /> 3 <br /> 1. Article Addressed to: D. Is delivery address different from item Yes <br /> If YES,enter delivery address below: El No <br /> PO BOX 916 DEC 0 5 2023 <br /> ME,RRILL OR 97633-0916 ENVIRONMENTAL HEALTH <br /> RE:PRO54232 1-11 M BP •RTN:HS IPERMIT/SERVICES <br /> 3. Service Type ❑Priority Mail Express® <br /> II"I'I'I I'll III <br /> lll'll"IIIIIIII III III III'I III ❑Adult Signature ❑Registered MaijTM <br /> CLAduit Signature Restricted Delivery ❑Registered Mall Restricted <br /> E3 Certified Mail® Delivery <br /> 9590 9402 6099 0125 5846 49 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ------------ <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery d Signature Confirmation- <br /> 7 0 21 0350 0000 8150 6488 <br /> Re <br /> fail ❑ 9 q ure Confirmation <br /> fail Restricted Delivery Re�4t�cted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02.ppp_g063 <br /> Dom i Return Receipt <br />