HomeMy WebLinkAboutCertified Mail - OT General - 3/27/1996 SENDER:
■Complete items 1 an for additional services. I also wish to receive the
m ■Complete items 3,4aW4b. following services(for an
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■Print your name and a ress on the reverse of this form so that we can return this extra fee): '
card to you. ai
N ■Attar h this form to the front of the mailpiece,or on the back if space does not 1. El Addressee's Address
d permit.
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. a
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3.Article Addressed to: 4a.Article Number
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B 4b.Service Type
°o ❑ Registered Certified °c
in ❑ Express Mail ❑ Insured S
o ` (j,{�, 14M�O ❑ Return Receipt for Merchandise ❑ COD 2
0 7. Date of Delivery °
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5. Received B : (Print Name) 8.Addressee's Address(Only if requested
and fee is paid)
t6 Signatur .Mddr6isee or Agent)
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y PS Form 3811, December 1994 Domestic Return Receipt
UNITED STATES POSTAL SERVICE First-Class Mal!
• Postage&Fees Paid
USPS
.r. Permit No.G-10
• Pt!rur name, address, and ZIP Code in this box •
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`o Mason County Dept. of Health Services
OffieV of Water Quality
410 NI�h�tuna WA 8584--50010
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