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Z 016 974 V85 <br /> NIA LE.D E f X990' <br /> Receip Pc <br /> CertifiedoNo Insurer• (1� sided <br /> Db ndt u �tl <br /> (96#Rr C�y <br /> sent toO " AZO �00 <br /> Street and No. QA <br /> P.O.,State <br /> � <br /> Postagr <br /> Ce� �ev�A�. r 6 <br /> ed <br /> GR',Y • ,vexO <br /> L 101, <br /> �rA�+v swing to Mom, <br /> Da, _./ ssee's Address <br /> TOTAL, de � <br /> &Fees <br /> O Postmark or Date <br /> m <br /> R7 <br /> E <br /> `o <br /> rn <br /> a <br /> �+ also wish to receive' the <br /> SEo Pl 1 <br /> an or additi n ervi SerVQsr{fQ� ( . 7 <br /> mplete items 3,and 4a&b. h we can r[ j �j 4�r7•.; <br /> H Print your name and address on the re r •- <br /> m <br /> ivreturn this card to you. if ace 1. ❑ Addressee's Address y <br /> rD • Attach this form to the front of the ailpie p .. <br /> to does not permit. ' ` a <br /> � the number. 2. El Delivery to <br /> 4) • Write"Return Receipt Requested"on t mailp ry <br /> �' • The Return Receipt will show to whom the and as delivered and the date Consult poStmagpir for fee. tY <br /> C delivered. 4a. Article Number <br /> -a 3. Article Addressed to: _.z—� • , 3 <br /> RL <br /> JAMES E BR <br /> AWN [I CHG 4b. Service Type Ir <br /> Registered ❑ insured 0 <br /> CENTRAL VALLEY REGIONAL Nvertified ❑ COD c <br /> WATER QUALITY CONTROL BOARD ❑ Express Mail E] Return Receipt for <br /> Merchandise o <br /> SA�CR�' ENTOECA RD S-1-64 <br /> 95827-3098 7. Date of Delivery <br /> 3 <br /> O <br /> T <br /> 5 8. Addressee's Address <br /> . Signature IA ssee) (Only if requested x <br /> and fee is paid) <br /> r <br /> 6. Sig u gent) <br /> a <br /> DOMESTIC RETURN RECEIPT <br /> >^ PS form X81 1, D ember 1991 *U.S.GPO:1883-35 - <br /> 0 t <br />