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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X"" ❑Addressee <br /> i " , - <br /> so that we can return the card to you. B. � `ed by(Printed Name) T <br /> Date of Delivery <br /> ■ Attach this card to the back of a mailpiece, <br /> or on the front if space permits. <br /> '1Q 1(s delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: (�� �j !9 If YES,enter delivery address below: ❑No <br /> CHRISTINE KARL ./-A - <br /> CALRECYCLE MS 10A-15 <br /> COMPLIANCE & MITIGATION DIVISION (P <br /> WASTE TIRE HAULER PROGRAM 3. Sery Type � <br /> PO BOX 4025 Certified Mail ❑I_xpress M171ail <br /> SACRAMENTO CA 9.5812-4025 ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7010 2780 0000 6640 0331 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />