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Z 128 782 02 <br /> US Postal Service <br /> R��aent'#'hi r �`nrtifiatl_IIA�iI <br /> ATTN MIKE SMITH <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARL <br /> 3443 ROUTIER RD STE A <br /> SACRArErIT-Q,. 1cA 19� 8 2 7-3098 <br /> Certified Fee ; <br /> Special DdFeeRestrictedReturn ReWhom&Q Return RQ Dat d <br /> 0 T T ge&Fees $ <br /> M -p—os-mrfrk or Date <br /> E <br /> `o <br /> LL <br /> v SEN U) <br /> ■Complete items 1 a4an <br /> d <br /> w ■Complete items 1 4 'mot,to receive the <br /> ■Print your name and following services for an <br /> card to you. r t etum this extra fee): j���r j`T op <br /> V ■Attach this form to the front of the mailpi e,or on a back if space does not 1. SS U <br /> permit. 1:1 Re ReSS� <br /> ■Write"Return Receipt Requested"on the mailpiece below the article[/um 2.❑ Restricted <br /> De II Vef)r <br /> ■The Return Receipt will show to whom the article was delivered and tke at <br /> delivered. Consult postmaster for fee. o <br /> 4a.Article Number <br /> ATTN MIKE SMITH / c <br /> CENTRAL VALLEY REGIONAL 11 4b.Service Type <br /> WATER QUALITY CONTROL BOARD ❑ Registered <br /> ertified <br /> 3443 ROUTIER RD STE A I❑ Express Mail Iris red <br /> SACRAMENTO CA 95827-3098 C3 Return Receipt for Merchandise ❑ C D <br /> 7.Datgt,Qelivtr , w <br /> LLQ <br /> 5.Received By: (Print Name) 8.Addressee's Addr ss(Only if re ested <br /> and fee is paid) c <br /> 6.Signat re: (Addresser Agent) W <br /> ` <br /> PS Form 3811,December 1994 102595-98-8-0225 <br /> [50ryy6StjC Return Receipt <br />