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SENDER: COMPLETE T141S SECTION COMPI ETE rHJS SZCTION ON DELIVERY <br /> • Com fete items 1,2,and 3.Also complete A. a n <br /> item kit Restricted Delivery is desired. 6 ! ❑Agent <br /> i Print your name and address on the reverse X � 11 ❑Addressee <br /> Ln sot at we can return the card to you. B. Qc.ikd by(Print name) C. Date of Delivery <br /> Cr ■ Atta h this aft6 <br /> f 11 t�cno 1e mailpiece, <br /> or on the ro p e permits. <br /> .y..,,. <br /> 1. Article Addressed to: <br /> D. Is delivery address different from item 17 El Yes <br /> M If YES,enter delivery address below: ❑ Na <br /> M <br /> G <br /> C3 EXEC UT1)XOFFICER <br /> 4 � 3. Service Type <br /> CENTRAL--VALLEY-REGIONAL <br /> 4 WATER QI5%1TYftNTROL BOARD *ertified Mail ❑ Express Mail <br /> r-4 11 Registered El Return Receipt for Merchandise <br /> ua 3443 R064k RD"'`STE A ❑ Insured Mail ❑C.O.D. <br /> 5ACRAA'lO Cir 95827-3098 4. Restricted Delivery?{Extra Fee) ❑Yes <br /> 0 2. Article Number CZ) ?001 2510 0008 0433 7795 <br /> r+ (Transfer from service label SD <br /> PS For 3 81L1� igust 1 D mastic Rur acei t 102595-01-M-25D9 <br /> "1'7 <br />