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s ■Com ete it ms and/or 2 fordditional services. I also wish to receive the <br /> #+ ■Complete items 3,4a,and 4b. followinglspr>rirQS(1or� <br /> ■Print your name and a e s an the verse of this t e can return ra fee): B o0 <br /> card to you. v <br /> a d ■perm' this form to the o e 1p' t if 1it. . ❑ Addressee's Addres <br /> ar <br /> „ <br /> IN o) ■Write'Retum Receipt Requested'on them hpiece he article number. 2. ❑ Restricted Delivery tD <br /> ,t,,,�: ■The Return fleceipt will show to whom the%4 <br /> was delivered and the date Q. <br /> rrl Gq „ o delivered. Consult postmaster for fee. <br /> 1r1 O `mATTN EXECUTIVE OFFICER a4a.Article Number <br /> CENTRAL VALLEY REGIONAL <br /> E 4b.Service a -' <br /> AYE WATER QUALITY CONTROL BORAD Type m <br /> I-1' iy 3443 ROUTIER RD STE A ,'I171 <br /> ❑ Registered L Certified <br /> U> stn ❑ Exp ress Mail a Insured <br /> SACRAMENTO CA 95827-3098ru <br /> ao <br /> r uW c ❑ Return Rem 'for Mercha dise 0 POD <br /> rX `" !Q ��7.Date of Del' e <br /> 5.Received By: (Print Name f B.Address 's Ads(Only if requested <br /> m <br /> [1 Fw and fee f paid <br /> 4 U t 3 6.Signature:(Addressee orAgent) <br /> T X <br /> i- PS Form 3811, December 1994 orrtestic Return Receipt <br />