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iF <br /> tr i <br /> II , <br /> P 379 7 bE 7 J§96 <br /> MAl1.�D 2 <br /> ,- <br /> a U$�Sstal 5 f+ice <br /> Receipt for Certifll:Mailaricled <br /> l <br /> JAMES E BRATHOVDE CHG <br /> a•� -CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> { 3443,', ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> Postage <br /> Certified Fee <br /> w + Special Delivery Fee r <br /> Restricted Delivery Fee <br /> to i <br /> rn Fietum Receipt Showing to <br /> Whom&Date Delivered <br /> Q Retum Receipt Showing to Whom, . <br /> a Date,&Addressee's Address <br /> d 1' <br /> t Geo TOTAL Postage&f=ees Is <br /> ih Postmark or Date <br /> ri "i 3 <br />{ CL r <br /> i <br /> n S f- aael <br /> • <br /> • wis <br /> m i s 1 and/or 2 for additional rvices o o e e <br /> f y . <br /> omelet se <br /> items 3,and 4a&b. g i a a .� <br /> U) Print your name and address v the reverse i rm so that a can feet: ; <br />$ d return this card to you. <br /> Attach this form to the front f t m e k if pace 1. [1 Addressee's Address <br /> does not permit. -G <br /> ,. t • Write"Return Receipt Requeste he mailpi a elow a article number- Z, ❑ Restricted delivery <br /> •' • The Return Receipt will show to whom the article w s delivered and the date <br /> CID <br /> �.. <br /> c delivered. Consult postmaster for fee. <br /> -o 3. Article Addressed to: a. Article Number _ <br /> JAMES E BRATHOV ION 4b. Service Type Cr <br /> o CENTRAL VALLEY ❑ Registered ❑ Insured a <br /> Ni WATER QUALITY CONTROL BOARD Certified ❑ COD c <br /> ❑ Express Mail ❑ Return Receipt for � <br /> r w 3443 ROUTIER RD STE A Merchandise o <br /> c SACRAMENTOCA: 95827-30987. Date of Pry-7 <br /> 5. Sig a e {Address ) $ <br /> and feeAddressee's ddress[Only if requested <br /> � W <br /> i97—Signature (Agent) <br /> PS Form 3$11, December 1991 *U.S.GPo:lsea-352-714 DO TIC RETURN RECEIPT <br /> ¢ N 3 <br /> 4 <br /> i <br /> f '1 <br /> I <br />