HomeMy WebLinkAboutCertified Mail - OT General - 3/15/1996 I
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid �
USPS
Permit No.G-10
a
• P r name, address, and ZIP Code in this box • i
� I
I
°° o Mason County Dept. of Health Services
L Office of Water Quality
rn 410 N. 4th - P. 0. Box 1666
yhelton, WA 98584-5001
I
M
I
I
t` SENDER:
■Complete items 1 and/or 2 for additional services. I also Wish to receive the
rn ■Complete items 3,4a,and 41b. following services(for an
■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ai
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit.
■Write'Return Receipt Re uested'on the mail iece below the article number. d
y p 4 p 2. El Delivery �
■The Return Receipt will show to whom the article was delivered and the date ..
delivered. Consult postmaster for fee. °
v 3.Article Addressed to: 4a.Arti a Number d
�379¢9
a
('Q_ !i 4b. ervice Type
m
❑ Registered ,Certified °C
rn
U) / ❑ Express Mail _ ❑ Insured 5
o //JA ��5 ❑ Return Recei ft�Fta I ❑ COD 0
w p MB rjdiSa
a 7. Date of Del
z
0
D 5. Received By: (Print Name) 8.Addresse s A dress(Only (W uested
w and fee is i
CC S
ign re: s e or Agent) AS'
0
N
PS Form 3811, December 1994 Domestic Return Receipt