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� T <br /> m SENDER' I o wish to receive the <br /> t o -Complete i 5 1 r for ditional service . <br /> a ■Comptete i s 4.4a,and following services(for an <br /> 4) ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. �; q�®� <br /> �� N Altach this formto the front of the mailpieee,or on the back if space does notLD Y' �s �"5 i <br /> rm <br /> . <br /> w ei'Raturn Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N <br /> +The Return Receipt will show to whom the article was delivered and the date a <br /> C delivered. Consult postmaster for fee. <br /> 0, - : # 4a.Article Number c <br /> j,"ATTN EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL fQ�7U � i <br /> v 4b.Service Type <br /> QUALITY CONTROL BORADATER <br /> ❑ Registered Certified M <br /> 443 ROUTIER RD 5TE A 'i of i <br /> SACRAMENTO CA 95827-3098 <br /> ❑ Express Mail Insured 5 <br /> r: ❑ Retum Receipt for Merchandise ❑ GOD <br /> 7.Data o alive <br /> a <br /> 5. Received By:(Print Name) 8.Ad a ee's ddress(Only if requested <br /> and fes is p ') s <br /> 6.Signature: (Addressee or A ent) <br /> ?+ X/� <br /> PS Form 3811, December 1994 Domestic Return Receipt <br /> _ _ *4 <br />