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HomeMy WebLinkAbout24 - Adoption of Recycled Water RatesCITY OF NEWPORT BEACH City Council Staff Report August 12, 2014 Agenda Item No. 24. TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL FROM: George Murdoch, Acting Municipal Operations Department Director - (949) 644- 3011, gmurdoch @newportbeachca.gov PREPARED BY: Rachell Wilfert PHONE: (949) 644 -3010 TITLE: Adoption of Recycled Water Rates ABSTRACT: The City of Newport Beach provides non - potable (recycled) water for the purposes of irrigating parks, school landscaping, center medians and golf courses. Recycled water is purchased from the Orange County Water District through the Green Acres Project. The current charge for recycled water includes fixed fees and a commodity rate set at 80% of the potable water rate. The Municipal Operations Department retained the consulting services of HF &H Consultants, LLC (HF &H) to prepare a recycled water rate study. The study analyzed the cost of service. The study recommended a revised rate structure. RECOMMENDATION: a) Conduct a public hearing to accept comments on the proposed recycled water rate and, at the conclusion of the hearing close the 45 -day written protest period; b) Affirm the tabulated results of the recycled water rate protest count from property owning customers; and c) Introduce Ordinance No 2014 -13, An Ordinance of the City Council of the City of Newport Beach Amending the Newport Beach Municipal Code to Add Chapter 14.13 Regarding Recycled Water Rates, and pass to second reading on September 9, 2014. FUNDING REQUIREMENTS: There are no funding requirements to implement the recycled rate and /or structure; however this action will change the recycled water rate and structure currently being charge to users of recycled water. DISCUSSION: On June 10, 2014, the Municipal Operations Department presented to Council a technical memorandum that discussed the proposed recycled water rate and structure. Attachment B to this document shows the current and proposed rates for recycled water. The City Council reviewed the results and directed staff to send out a notice to all customers in compliance with State law. Pursuant to State Law, the rates charged to recycled water users may be adjusted following a public hearing. If at the public hearing, protests from more than half of the number of properties served by the City are received, then the modified rate structure may not be implemented. On June 23, 2014, the City Clerk mailed notices to all property owners for which the city provides recycled water. A 45 -day notice period concludes at the end of the public hearing on August 12, 2014. The City Clerk shall complete the tabulation of all written protests received, including those received during the public hearing and shall report the results to the City Council. If there is an absence of a majority written protest, staff recommends Council approve of the rate and structure adjustment and introduce an ordinance creating Chapter 14.13.010 Recycled Water Rates Established of the Newport Beach Municipal Code, and pass to second reading on September 9, 2014. The new recycled water rate and structure will go into effect 30 days after the second reading of the ordinance (approximately October 10, 2014). The next rate adjustment will be effective on January 1, 2016, and on the first day of each year thereafter. ENVIRONMENTAL REVIEW: Staff recommends the City Council find this action is not subject to the California Environmental Quality Act ( "CEQA ") pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. NOTICING: The agenda item has been noticed according to the Brown Act (72 hours in advance of the meeting at which the City Council considers the item). ATTACHMENTS: Description Attachment A - Ordinance - Recycled Water Rates Established Attachment B - Proposed Five Year Rate Establishment ATTACHMENT A ORDINANCE NO. 2014- AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF NEWPORT BEACH AMENDING THE NEWPORT BEACH MUNICIPAL CODE TO ADD CHAPTER 14.13 REGARDING RECYCLED WATER RATES WHEREAS, The City of Newport Beach provides non - potable (recycled) water for the purposes of irrigating parks, schools, center medians and golf courses. Recycled water is purchased from the Orange County Water District through the Green Acres Project; and WHEREAS, The City charges users of recycled water a rate set at 80% of the potable water rate; and WHEREAS, The City's Municipal Operations Department retained the consulting services of HF &H Consultants, LLC ( "HF &H ") to prepare a recycled water rate study in order to analyze the current cost to the City to provide recycled water and to provide recommendations regarding an appropriate rate structure; and WHEREAS, The HF &H study recommended a revised rate structure that includes a fixed fee component, a commodity charge and a pump station charge if the recycled water is provided by a pump station that is maintained by the City; and WHEREAS, The City Council has reviewed the conclusions of the HF &H study and agrees that the recommended rate structure should be implemented, which will allow the City to charge the users of recycled water a rate that reflects the City's current cost of providing recycled water. NOW THEREFORE, the City Council of the City of Newport Beach ordains as follows: Section 1: Section 14.13.010 is hereby added to the Newport Beach Municipal Code to read as follows: 14.13.010 Recycled Water Rates Established. Recycled water, also known as '.reclaimed" water, is used as a conservation measure to reduce potable drinking water demand. Recycled water is non - potable, treated wastewater used for landscape irrigation including but not limited to: park landscape areas, school landscape areas, roadway medians and parkways, and golf course landscaping. The city purchases recycled water pursuant to an agreement with the Orange County Water District (OCWD). Upon the effective date of this chapter, a recycled water fixed rate, commodity charge, and pump station rate shall be established, and users of recycled water shall be charged these rates in accordance with the provisions of this chapter. A. There shall be charged and collected a monthly fixed recycled water service charge from each customer for each meter. The fixed water service charge recaptures the City's costs to operate and maintain the recycled water system, including required capital infrastructure improvements, but excluding pump station maintenance, repairs and improvements. Fixed water service charges shall be effective January 1st of each year and charged according to the Fee Schedule adopted by resolution of the City Council. B. There shall be charged and collected a monthly commodity charge from each customer for each meter. The commodity charge is a per unit charge that recaptures the City's cost to purchase recycled water from OCWD. If the City's cost of recycled water increases by more than the projected rate to purchase water from OCWD, the commodity charge will be adjusted annually to reflect the City's cost to purchase recycled water from OCWD. The commodity charge shall be effective January Vt of each year and charged according to the Fee Schedule adopted by resolution of the City Council. C. There shall be charged and collected a monthly pump station charge from each customer receives water by means of a pump station. The pump station charge recaptures the City's cost to operate, repair, maintain, and replace the pump stations that may be necessary to provide recycled water. Pump station charges shall be effective January 1st of each year and charged according to the Fee Schedule adopted by resolution of the City Council. Section 2: The recitals provided in this ordinance are true and correct and are incorporated into the substantive portion of this ordinance. Section 3: If any section, subsection, sentence, clause or phrase of this ordinance is for any reason held to be invalid or unconstitutional, such decision shall not affect the validity or constitutionality of the remaining portions of this ordinance. The City Council hereby declares that it would have passed this ordinance and each section, subsection, clause or phrase hereof, irrespective of the fact that any one or more sections, subsections, sentences, clauses and phrases be declared unconstitutional. Section 4: The City Council finds the approval of this ordinance is not subject to the California Environmental Quality Act ( "CEQA ") pursuant to Section 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential to have a significant effect on the environment. Section 5: Except as expressly modified in this ordinance, all other Sections, Subsections, terms, clauses and phrases set forth in the Newport Beach Municipal Code shall remain unchanged and shall be in full force and effect. Section 6: The Mayor shall sign and the City Clerk shall attest to the passage of this ordinance. The City Clerk shall cause the ordinance, or a summary thereof, to be published once in the official newspaper of the City, and it shall be effective thirty (30) days after its adoption. This Ordinance was introduced at a regular meeting of the City Council of the City of Newport Beach held on the 12th day of August, 2014, and adopted on the gth day of September, 2014, by the following vote, to -wit: AYES. COUNCILMEMBERS NOES, COUNCILMEMBERS ABSENT COUNCILMEMBERS MA ATTEST: RUSH N. HILL, II LEILANI I. BROWN, CITY CLERK APPROVED AS TO FORM: CITY ATTORNEY'S OFFICE AA_ RON C. HARP, CITY ATTORNEY 15 I� Attachment B: Proposed Five -Year Recycled Water Rate Establishment Monthly Service Charge Current Year 1 Year 2 Year 3 Year 4 Year 5 5/8" or 3/4" $13.82 $18.91 $19.29 $19.68 $20.07 $20.47 1" $23.03 $31.53 $32.16 $32.80 $33.46 $34.13 1 '/" $46.06 $63.05 $64.32 $65.60 $66.91 $68.25 2" $73.70 $100.88 $102.90 $104.95 $107.05 $109.19 3" $138.18 $189.15 $192.94 $196.80 $200.73 $204.75 4" $230.30 $315.25 $321.56 $327.99 $334.55 $341.24 6" $460.61 $630.50 $643.11 $655.98 $669.10 $682.48 8" $736.98 $1,008.81 $1,028.99 $1,049.57 $1,070.56 $1,091.97 Commodity Charge Per HCF $2.46 $0.855 $0.872 $0.890 $0.907 $0.926 Pump Station Charge Per HCF none $0.361 $0.368 $0.375 $0.383 $0.391 CITY OF NEWPORT BEACH NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that on Tuesday, August 12, 2014, at 7:00 p.m. or soon thereafter as the matter shall be heard, a public hearing will be conducted in the City Council Chambers at 100 Civic Center Drive, Newport Beach. The City Council of the City of Newport Beach will consider the following: RECYCLED WATER RATES The City of Newport Beach provides non - potable (recycled) water to users in the City for the purposes of irrigating parks, schools, center medians, and golf courses. The City acquires recycled water from the Orange County Water District pursuant to the Green Acres water reclamation project, which was established in 1991. The City currently charges users of recycled water a fixed fee and a commodity rate set at 80% of the potable water rate. In 2013, the Municipal Operations Department retained the consulting services of HF &H Consultants, LLC to complete an analysis of the City's recycled water rate and provide recommendations as to a rate structure that, if adopted, would enable the City to distribute costs equitably amongst the City's users of recycled water. The study prepared by HF &H analyzed the cost of service and concluded that a rate adjustment is appropriate. Prior to the publication of this notice, the City provided written notice of the proposed rate structure to its recycled water customers. NOTICE IS HEREBY FURTHER GIVEN The project is exempt under Section 15060(c)(2), of the State CEQA (California Environmental Quality Act) Guidelines because it will not result in a direct or reasonably foreseeable indirect physical change in the environment. NOTICE IS HEREBY FURTHER GIVEN All affected recycled water users were properly noticed as required by California statutes including, but not limited to, Proposition 218. Under the Proposition 218 requirements, the rates will not be adjusted if a majority of the users of recycled water submit a valid written protest to the City Clerk by the close of the 45 -day notice period. If the total number of protests is less than half of the number of properties served by the City, then the Clerk may advise the City Council of the absence of a majority protest without determining the validity of all protests. All interested parties may appear and present testimony in regard to this change. If you challenge this project in court, you may be limited to raising only those issues you raised at the public hearing or in written correspondence delivered to the City, at, or prior to, the public hearing. The change may be continued to a specific future meeting date, and if such an action occurs, additional public notice of the continuance will not be provided. Prior to the public hearing the agenda, staff report, the recycled water rate study and documents may be reviewed at the City Clerk's Office, at 100 Civic Center Drive, Newport Beach, California, 92660 or at the City of Newport Beach website at www.newportbeachca.gov. Individuals not able to attend the meeting may contact the Utilities Division or access the City's website after the meeting to review the action on this item. For questions regarding this public hearing item please contact George Murdoch, Utilities General Manager, at 949 -718 -3401 orgmurdoch(a)newportbeachca.gov. � �tiW�P�kr O. � : V ;'i '�n' Cqt /Fp Aa�P, Leilani I. Brown, City Clerk City of Newport Beach i os An-ades T E D I ' t RO qU11 Sold To: City Of Newport -City Clerk's Office (Key) - C000064829 PO Box 1768 Newport Beach,CA 92658 Bill To: City Of Newport -City Clerk's Office (Key) - C000064829 PO Box 1768 Newport Beach,CA 92658 CITY OF NEWPORT BEACH NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that no Tuesday, ArytiiA 12. AIM, at Ma p m of sood, tteisaiter as ale mattef Mi 31 he heard, a Pak hwrfnag wdl be candut;%T in the ury Councd Coarnbea at to Civic Center 9,nw, tievrfon2 &auk, The Coy Coosvi of the Cay of Newplet 8wi:h wilt udedheiha fdacvdag: RECYCLED WATER RATES The City of bisvfb ,Reach sidodes m n-potab& {racydedl water to users rn the City fou :he "rfame al kogaiIul larks, ;coot„ cemer Maroons, and pIf caurses, The Cry acqurtes recgrfed Water (rani the Ikauge County "Yaois i75uot irmio u to tiha Grand fraas seater aeedmtsnshm project wMdo Coos cs ddlibeed in 1991, doe City tur inifly diargesMors oftecycted watera Bond fire am a semmndHp&1te eel be SOad of-.k potable crater rate. in 201$ it* sesssiam Qperauons Deparsntens teteined the mrtzbong ,fakes of fif &R Cs Would 5iC to cotmp3ate an analgsls of the Guys duyuhea motel fate sad peovlsde, resor n ens as to a rate straawe blot. if aduPted, krculd enabie the City re drsbibuia casts equitabty, atnungst the Cs y's users of retialm tearer. The study prepared by, KU avatgzd tie coin 0 wistice and couch deb that a rate aqusu rout is appropriate. Poor to the Pufditacur, of vto nnsba, him. City Provided e;novis noose of the proposed fate sauetvre to is retyded seater cidlone fr. NOTICE Is HEREBY FURTHER GIVER] Thz poibut isewrvt under setron 150MC)!k3, of dic State (EQA ECatlpitnia Enviromi ntai Quality Act} Goickhtue hetanss it out noteesuit lea daunt of rzasana&#y fooseeabletndinepbgsical change In thetatormin oit. NOTICE 15 HEREBY FURTHER GIVEN Ail 411st?ed recycled munr owes were p,olbe q noticed as vibliaed by t,ai{fou is vavules Mcardam bad Mdcooled ta, Ptopasman 21& Dnder the Proldur in 2.8 Nwisne ents, I— read Will but b* ablation d a mby abe of the aside nC iocyried teener otbusit a valid written protest to the sty Clark by rose chew of tine 45-day fmoce pmmd. If the twit Pumber of protests is Jew teen half of the morutero€ prnFesans sieved by Joe Cue then the Cieek may advise UeCity foundd of the genre of a nsaloory, pretest m'abdrt dote reivirrg thavabdill of all ifxntests, All Ino tested pandsonay aplear and prewro ;t didorg in regard to brit barge. If qoa challenge fts gto}act is casut, you nay be emitted to reigieg only vi ow resues you rested at the Ober headed or in warn n co£reswxadence delivered to the aly, at, ar prior to. Ov ptblic'sariray, The change map be connote to a 5pe its fibura mwe beff date, and if such an adorn occurs, Abol onat public once of the cartinvmce will out be pbwidd. PrVt ua the ovina<P.caring the agenda, staff reptnt, nt,z rfgded ix bsr fate study and daamnrts may be revkrted at ffie oil tieWt 0fte, at 100 Civa tenter Dow,.Neayad Beach, Cafirbonia,42660 m at the city, of Maas rperf Hemb iw bscnz at www.ravgratlxntisca.nnr, Irtfoduals out able m aaerat the meuung may co;,*aet the untlises Mislays or access Ito Coy`s webute aef the rneemet to revere, the acianan vos #tin. par ayartlans rega[dsug this public bea6ag 1w in Meare covXT Beal, khadoch, tsIftes Genera? 4U,nWc at 949-71$341 or rynutdoch poeriportcreautca.goa. ,'y iieurti 1. Brown, City Chink Cry of clewpatt ifetsh I—, I—" _.r _ ° J r.rf� 2579114 - Daily Pilot Los Auricles Times 1 1 . ! - J PROOF OF PUBLICATION (2015.5 C.C.P.) STATE OF ILLINOIS County of Cook G R 0 U P' I am a citizen of the United States and a resident of the County aforesaid; 1 am over the age of eighteen years, and not a party to or interested in the action for which the attached notice was published. I am a principal clerk of The Newport Harbor News Press Combined With Daily Pilot, which was adjudged a newspaper of general circulation on June 19, 1952, Cases - A24831 for the City of Newport Beach, County of Orange, and State of California. Attached to this Affidavit is a true and complete copy as was printed and published on the following date(s): Aug 02, 2014 I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated at Chicago, Illinois on this day of A , 20Lq-. [signature 435 N. Michigan Ave. Chicago, IL 60611 2579114— Daily Pilot CITY OF NEWPORT BEACH MUNICIPAL OPERATIONS DEPARTMENT Proposed Recycled Water Rate Change Notice of Public Hearing and Protest Procedure NOTICE IS HEREBY GIVEN that on August 12, 2014, at 7:00 p.m., a public hearing will be conducted in the City Council Chambers at 100 Civic Center Drive, Newport Beach, CA 92660. This will be a public hearing before the Newport Beach City Council to allow public testimony and discussion of the proposed recycled water rate adjustments described within this notice. The City Council will take written and oral comments that evening. They will also consider all written protests against the proposed charges, determine if a majority protest exists, and consider resolutions to adopt the recycled water rate charges. How to File a Written Protest Written protests must be filed with the City of Newport Beach City Clerk. Written protests may be hand delivered or mailed to the City Clerk at 100 Civic Center Drive, Newport Beach, California 92660. To be valid, written protests must state opposition to the proposed recycled water rate adjustment, identify the parcel (by assessor's parcel number or street address), and include the original signature of the recycled water service customer or property owner. Written protests may be submitted up to the conclusion of the public testimony at the public hearing on August 12, 2014. About Proposition 218 In November 1996, California voters approved Proposition 218. As a result, California agencies must comply with its requirements when setting utility rates. One provision requires that a noticed public hearing on utility rates be held and that rates not be increased if a majority of affected property owners protest the increased rates in writing. Frequently Asked Questions Q. What does my recycled water bill pay for? A. Your Newport Beach recycled water bill covers the following categories costs and services: • The annual operation and maintenance of the recycled water system, including meter reading and replacement, overhead and administrative costs, and other agency fees. • The cost the City incurs to purchase recycled water from the Orange County Water District (OCWD). • The pump station costs, including inspections, maintenance, rehabilitation, and replacements. Q. Why do the rates need to be adjusted? A. Recycled water is treated wastewater provided by OCWD under the Green Acres Project (GAP). GAP is a water conservation effort that provides recycled water for landscape irrigation at parks, schools, center medians, and golf courses. Corporation Yard: 592 Superior Ave, Newport Beach, CA 92663 — Telephone: (949) 644 -3055 Fax: (949) 650 -0747 Utilities Yard: 949 West 16th Street, Newport Beach, CA 92663 — Telephone: (949) 644 -3011 Fax: (949) 646 -5204 Mailing Address: PO Box 1768, Newport Beach, CA 92658 -8915 — www. newportbeachca .gov /municipaloperations In 1991, the City entered into an agreement with OCWD for the distribution and sale of GAP water. The agreement stipulates that recycled water rates may not exceed 80% of the potable water rate. The agreement term is for 25 years with five 5 -year automatic extensions, with an estimated ending term year of 2041. Following the 1991 agreement, the City entered into "End User Agreements" with customers in 1996 for a 10 -year term. These agreements have now expired with the exception of the Big Canyon Country Club who entered into a new agreement in 2011 for the delivery and sale of recycled water and a pump station license agreement. All past and current agreements set the recycled water usage fee rate at 80% of the potable water usage fee rate. In the last nineteen years the potable water rates have increased significantly mostly due to increased import water costs from Northern California and Colorado River. Recycled water rates have tracked these rate increases. Our customers and staff recognized the need to set the recycled rate to the true cost to provide this service. Q. How will my recycled water bill be calculated? A. A customer's recycled water bill is a component of the municipal services statement sent to City customers. Each bill will have three components: 1. Water Service Charge (Fixed): This charge is based on the customer's water meter size. This charge is designed to recover the costs of reading, maintaining, and replacing the water meters. Additionally, this charge includes administrative and overhead costs. 2. Water Usage Fee (Variable): This charge is based on the amount of water used and is calculated by multiplying the number of hundred cubic feet units (HCF) of water used by the unit rate per HCF. One HCF is equal to 748 gallons. This charge is geared towards recovering the costs associated with the City's cost to purchase water from OCWD. In the event OCWD increases the cost of recycled water by more than the projected rate, the commodity rate will be adjusted to reflect the actual commodity cost charged by OCWD. 3. Pump Station Fee (Variable): This charge is based on the costs associated with the use of Pump Stations and is calculated by multiplying the number of HCF units used by the unit rate per HCF. Only users of the pump stations will be charged. This charge covers the cost for inspections, maintenance, rehabilitation, and station replacement. Q. How long is the rate increase in effect? A. The City is proposing a five -year rate establishment. Years two through five are based on a two percent increase based on historical increases due to cost of water, materials, and manpower. The water usage fee is based on the City's cost to purchase water from OCWD. Although estimated to increase by two percent per year, this portion of the rate will be adjusted annually to match the City's cost to purchase the water. The rate may increase or decrease based on OCWD's cost to provide recycled water. Q. How does this compare to what we currently pay? A. The City currently has five customers and fourteen connections. In all cases, the monthly cost to purchase recycled water from the City is decreasing. The average reduction in customer costs range from 44% to 60% depending on amount of water used. Page 2 of 3 Current and Proposed Recycled Water Rates Water Service Charge (Monthly Fixed) Water Usage Fee (Variable)" Per HCF $2.46 $0.855 $0.872 $0.890 $0.907 $0.926 Pump Station Fee (Variable) Per HCF none $0.361 $0.368 1 $0.375 1 $0.383 1 $0.391 Need More Information? If you have questions, please call George Murdoch, Utilities General Manager at (949) 718 -3401 or e -mail at gmurdoch a)newportbeachca.gov Page 3 of 3 Current Year 1 Year 2 Year 3 Year 4 Year 5 5/8" or 3/4" $13.82 $18.91 $19.29 $19.68 $20.07 $20.47 1" $23.03 $31.53 $32.16 $32.80 $33.46 $34.13 1 '' /2' $46.06 $63.05 $64.32 $65.60 $66.91 $68.25 2" $73.70 $100.88 $102.90 $104.95 $107.05 $109.19 3" $138.18 $189.15 $192.94 $196.80 $200.73 $204.75 4" $230.30 $315.25 $321.56 $327.99 $334.55 $341.24 6" $460.61 $630.50 $643.11 $655.98 $669.10 $682.48 8" $736.98 $1,008.81 $1,028.99 $1,049.57 $1,070.56 $1,091.97 Water Usage Fee (Variable)" Per HCF $2.46 $0.855 $0.872 $0.890 $0.907 $0.926 Pump Station Fee (Variable) Per HCF none $0.361 $0.368 1 $0.375 1 $0.383 1 $0.391 Need More Information? If you have questions, please call George Murdoch, Utilities General Manager at (949) 718 -3401 or e -mail at gmurdoch a)newportbeachca.gov Page 3 of 3 Big Canyon Country Club David Voorhees, General Manager 1 Big Canyon Drive Newport Beach, CA 92660 Newport Beach Country Club Perry Dickey, COO 1600 E. Coast Hwy Newport Beach, CA 92660 Newport -Mesa Unified School District Kent Ramseyer, Energy Manager 2985 Bear Street, Building E Costa Mesa, CA 92626 Our Lady Queen of Angels Kathy Jensen, Parish Manager 2046 Mar Vista Drive Newport Beach CA 92660 \\ \ |_Q y cz � \ c / C a � � � � 4 ; ! %{ /\ ; \ \} � /�} \ ,x »° . -j \ } t } \ a \» § \� ) t k � 5 . � // « % ! % 0 � � k » � }ff o � \ \ \� P k \() 3 )%! R =3 . ;00 } \(0 {/ / .\F } \\ j \`)�\ G �\ � !(� � f �� , , x { o 2 k! ! ru z !e q/e _A. 8181 1948 � !(� � f �� ■ Print your name tand address nt he reverse so t return ■ Attach th s card back o the mailpiece, or on the front if space permits. I. 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III Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, Received by (Printed Name) or on the front if space permits. _,,/ F � \, 1. Article Addressed to: 8190al yd Iodnfr� 01 v/b '1 VIM DrI fe MP-r Mich) C6 //II &V ❑ Agent C. Date of Delivery �..cirvc�y auoressremerenLirOm'dem t? t.l Yes f YES, enter deliveryiaddress below: ❑ No s'a 2 0 3.'yS�erv1c9`t,Type, Ce1tlfNlail ❑ Express Mail ❑Registered Return Receipt for Merchandise ❑Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. 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