HomeMy WebLinkAbout031-202-004File No
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For information
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. I.
Sub. & Pcl. Maps
Perm its
0 SENDER: Complete items, 1, 2, and 3. . I
Add your address in the "RETURN TO" space on
reverse.
I . The following service is.requested (chepk one).
Show to whom and date delivered ......... .... 15.0
Show to whom, date,-& address of delivery.. 350
F-] RESTRICTED DELIVERY.
Show to whom an - d date delivered..--- ...... 65o
F� RESTRICTED DELIVERY.
Show to whorn� date, and address of delivery 850
2. ARTICLE ADDRESSED TO:
Robert L. Kirk
1103 Butte Ave.
Oraville, CA.
.95965
.3. ARTICLE DESCRIPTION: -
REGISTERED NO. CERTIFIED NO. INSURED NO.
532012
(Always obtain signature of addressee or agent)
I have received the article described. above.
SIGNATURE 0 Addressee El Authorized agent
U
4. A Z,
ATE OF DELIVERY
1POS
5: ADDRESS (Complete only if req
6.. UNABLE TO DELIVER BECAUSE:
INI,
GPO: 1 t 56V4 . 7
UNITED STA '* kL SERVICE
or L
XA r.U%1�14 ----"��VAT�E
� n�j
SENDA� IN06�14J&J'IONS TAG
Print your name, addreN
items 6 :C . in the space beldr.—
Complete 1�,� reverse side.
Moisten gummed ends and attach to back of artijle.
ZORTURN
FO To
, ,
C-3
'9' C
w
C:
N
County of
710
CO -_j
Dept. of Pilblic' W6�'ks
7 County nle r
Oroville, Cal or n! a 0.-".
959
ATTN: Bldg.
Dept.
i I " -%4
C
C5
z
AP 51-202-4
RECEIPT FOR CERTIFIED IVIAIL-30�. (plus postage) I
SENT TO
POSTMARK
Robert L. Kirk
OR DATE
12/10/79
STREET AND NO.
1103 Butte Ave.
P.O., STATE AND ZIP CODE
0P='S1E'RVJ4CeE6 FARNADDITIMPAESES
ETURN � I Shows to whom and date delivered ............ 154
ECE PT . : With delivery to addressee only ............ 650
1
2. Shows to whom, date and where delivered ..
354
SERVICES With delivery to addressee only ............
854
DELIVER TO ADDRESSEE ONLY ............. . ................................ 50d
SPECIAL DELIVERY (extra fee requirecl) ....................................
PS Form NO INSURANCE COVERAGE PROVIDED— (See cih—er side)
A.pr. 1971 3800 NOT FOR INTERNATIONAL MAIL tr GPO : 1972 0 - 460-743
STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail)
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see f*
1'. If you want this receipt postmarked, stick the gummed stub on the left portion of the address
side of the article, leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier. (no extra charge)
2. If you do not want this receipt postmarked, stick the gunimed stub on the left portion of
the address side of the article, date. detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified -mail number and your name and address on
a return receipt card, Form 3811, and attach it to the back of the article by means of the
gummed ends. Endorse front of article RETURN RECEIPT REQUESTED.
4. If you want the article delivered only to the addressee, endorse it on the front DELIVER To
ADDRESSEE ONLY. Place the same endorsement in line 2 of the return� re.cbipt 'qard if that
service is requested.
5. Save this receipt and present it if you mak-e inquiry.