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' ` t <br /> • SECTION • • • DELIVERY <br /> ■ Complete items 1,2,and 3.Also plete A. Signature <br /> item 4 if Restrict eliv X ❑Agent <br /> ■ Print your name on a verse ❑Addressee <br /> So that we can to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front Wce permits. <br /> I � ` Yes <br /> CHRISTIlN If YES,enter delivery Lq <br /> �Er <br /> 1.r <br /> cALRECY+ " Ms loA-ls OCT 3 ,n OCTA �12013 <br /> WASTE PERMITTING COMPLIA `'ti rim? t <br /> PO BOX,MITIGA� ��DIVISION �EAL1H <br /> 3. ice Type AL <br /> rtifled Mail ❑Ex001MUMEWCES <br /> SACRAMENTO CA 95812-4025 E3 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 0928 <br /> (riansfer from servke 141590 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />