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A f <br /> cc <br /> .. ............. C1. S <br /> (; C v ■ pl'te de and/or 2 for additional services. I also wish to receive the <br /> r,,,:, PQ (A ■complete items 3,4a,and 4b. J following services(for an <br /> rQ. rC I ■Print your name and address an the reverse this for rF re thi extra:fe 1 <br /> [r n,rd to you. . .' 4i <br /> 2 ~ ■r Hach this form to the front of the mail iec or c <br /> rq p C W CN p 1. �} ,�ddrressee'iAddress <br /> H fz i- pp permit. <br /> rr Vr E- CO � a pt ■Write'Return Receipt Requested'on the mai low the i ber. 2, ❑ Restricted Delivery � <br /> r� Qt ■The Rei um Receipt will show to whom the article was vere and the date Q <br /> mC delivered. Consult postmaster for fee. <br /> Ix.n o <br /> ' � 3ArtII Addressed to. <br /> 4 <br /> rticle Numbe <br /> r Cil.4EL � <br /> tT" C 4 O 'EXECUTIVE OFFICER 4b.Service Type <br /> -T+ :^ > F E- 0 CFNTRAI. VALLFY REGIONAL ❑ Registered Certified C <br /> C4 W WATFR QUALITY CONTROL BOARD ❑ Express Mali ❑ Insured S <br /> N <br /> rt 0 3443 ROUTIFR RD STV A ❑ Return Receipt for Merchandise El COD <br /> U E W (na °� SACR AMFNTO CA 95827-3098 7.Date of Delivery <br /> 'I K Cr <br /> z <br /> W U r''l 5. Re i d 2Y (P t N e) 8.Addres e 's Address(Only it requested <br /> ei .W � ,t and to is` aid) ti <br /> 6.Sig at Age0 <br /> ,!esselnr <br /> PS Form 3811, December 1994 Domestic Return Receipt <br /> C• Q <br /> ■ <br /> CVS <br /> ete to dior 2 for additional services. \j <br /> also wish to receive the <br /> rn ■Complete items 3,4a,and 4b, following services(for an <br /> W ■Print your name and address on the reverse o is f rm a ur hi extra fee): <br /> Pard to you. ej <br /> (� y mAttach this form <br /> to the front of She maiipiece, a o "d Addresses s Address <br /> f�YL i perrnil. <br /> h ■Write"Return Receipt Requested'or the mailp ce belo4and <br /> le n mbec 2, ❑ Restricted DBIiVery N <br /> ■The Return Receipt will show to whom the article was dthe date <br /> LT' a delivered. Consult postmaster for fee. CD <br /> i e Number ar <br /> t O C� 3.Article Addressed to: c <br /> !t0 � � m <br /> ... �ii� 3 `� L in <br /> BRAT"'OV�E SIG 4b Service <br /> a <br /> e ice <br /> 'AL VALL' Y PSC IOivAL ❑ Registered Certified °C <br /> a tx7 ' A PS OUaLI'I'Y' COiv"iROL BOA'�D S <br /> A H � � P� J`rE ❑ Express Mail ❑ Insured <br /> F-4 O pc 344-3 R,0 0 Return Receipt for Merchandise ❑ CDD � <br /> SACK° vZ0 GA 95 27 3 QS <br /> 7.f7ate of Delivery <br /> O'O - � o <br /> - c ? 8.Addressee's A rens(Only it requested <br /> O 5. Rec�tved By (Printiame� <br /> 6 e' a l "` and lee iscc <br /> poi <br /> 6.Signature,( ci see Agent) ' r <br /> e <br /> r �? <br /> 'Domestic Return <br /> PS Form 3811, December 1994 <br />