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SENDER:COMPLETE THIS SECTION M COMPLETE THIS SECTION ON DELIVERy <br /> ■ Complete items 1,2, and 3.Also complete A. Sign re <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse X p Agent <br /> so that we can return the Card to you. ��❑Addressee <br /> ■ Attach this card to the back of the mail�bi B. Receiv by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. r— <br /> i C' <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes <br /> If YES,enter delivery address below: ❑ No <br /> N 2 0 2002 <br /> ENVIR LAMENT HEALTH <br /> PE <br /> 3. Seryice Type <br /> Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ElYes <br /> 2. Article Number <br /> (Transfer from service lab, 7002 2030 0003 8788 8194 <br /> PS Form 3811,August 2001 Domestic Return Receipt <br /> 102595-02-M-7540 <br /> ro <br /> r` <br /> ro <br /> Postage $ <br /> M <br /> ED Certified Fee <br /> 0 <br /> IM ReturnReciept Fee Postmark <br /> (Endorsement Required) Here <br /> O Restricted Delivery Fee <br /> M (Endorsement Required) <br /> M <br /> rl_! Total Postage&Fees <br /> rU <br /> Q Sent To <br /> a IE-f-F S <br /> Street Apt No.; ----- ---------------- - <br /> or PO Box No. <br /> ------------------- <br /> cfry,stare ziP+a ------------------ <br /> �JG <br />