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Postal <br /> CERTIFIED MAILTm RECEIPTEr (Domestic Mail OWY;No Insurance Coverage COI <br /> Li 144 r ,:- <br /> Postage $ <br /> t� <br /> Certified Fee <br /> Return Reciept Fee Postmark <br /> (Endorsement Required) Here <br /> Restricted Delivery Fee <br /> (Endorsement Required) <br /> Total Postage&Fees <br /> LTo ""`" i 1 tt <br /> COMPLETETHIS SECTIONON <br /> SECTIONSENDER: COMPLETE THIS <br /> ■ Complete i ms 1,2,and 3.Also complete <br /> A. Si to ❑Agent <br /> item 4 if R t' X ❑Addressee <br /> ■ Print your d res s n everse C. Date of Delivery <br /> sothat we t car t B. Received by(Printed Name) <br /> ■ Attach this r o he back of the mailpiece, 1-- j ( 3 <br /> or on the f nt if space permits. D. Is d lie f i 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> 1. Article Addr ssed to: <br /> A�� pros MAR 15 2004 <br /> ENVIRONMENT HEALTH <br /> C� ':;;1521 3. Service Type <br /> F('enG CA r^P ( /✓ 1 Certified Mail ❑ Express Mail <br /> Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Nurrber 7002 2030 0001 7624 8956 <br /> (Transfer frc m service label) <br /> 102595-01-M-2509 <br /> PS Form 3811,August 2001 Domestic Return Receipt <br /> t <br />