WQ0004059_Delivery Receipt NOV-2024-LV-0290_20240405

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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallplece,
or on the front if space permits. _
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9590 9402 8766 3310 3325 05
7021 0950 0001 1209 8948
Ps Form 3811, July 2020 PSN 7530-02-000.9053.
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O Agent
If YES, enter delivery address below:"' 0 No
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1
Water Duality Regional
Operations Serif.,
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3. Service Type -
❑ priority Man EXpresa®
❑ Adult 6ignature
O Registered MallTM
qq Adult Signature Restricted Delivery
Meil®
O Re istered Mail RestrictedtSlCertified
Delivery
❑ Certified Mall Restricted Delivery
❑ Signature Confirmation^^
❑ Collect on Delivery
❑ Signature Confirmation
❑ Collect on Delivery Restricted Delivery
Restricted Delivery
^'isured Mail
Isured Mall Restricted Delivery
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Domestic Return Receipt