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• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Penrose Water District <br />Water Activity Enterprise <br />340 Grant St. <br />Penrose CO 81240 <br />A. Signature ' ■ Complete items 1, 2, and 3. Also complete <br />e <br />�Va n M �f gent item 4 If Restricted Delivery is desired. <br />/I% ❑ Addressee ■ Print your name and address on the reverse <br />B. Received by ( Printed Name) C. Date of Delivery ; so that we q,% return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the from °if space permits. <br />D. Is delivery address different from Rem 1? ❑ Yes 1. Article Addressed to: <br />If YES, enter delivery address below: 11 No <br />I <br />Eva O'Connell <br />CIO Shirley Brock <br />3. Service Type 35747 W. 218 St. <br />❑ Certified Mail ❑ Express Mail Edgerton KS 66021 4WD <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />A. <br />X <br />❑ Agent <br />❑ Addre <br />B. ived by (Printed Nam-pV C. Dat Deli <br />5 <br />D. Is delivery address different from Rem 1? Y s <br />If YES, enter delivery address below: r❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchant <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 2. Article Number <br />(Transfer from service label) (Transfer from service label) <br />'S Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M- <br />St- 1a- ZO- 969ZOL 3dla3aa wn;aa oi;sawo(] -- - b00Z Ajenagad `L L8E LWOd Sd <br />(iegel eoi-es w-{ ii4su -j) <br />aegwnN elo!VV 7 <br />sad ❑ (903 -3X3) LtieAIIeC Pe30h3sea 'b <br />-- •0.0.0 ❑ Ilsyq peinsul ❑ <br />slpueyoley4 aol 1dleoea wn ;ea ❑ pejembea ❑ <br />IIEW sseJdx3 ❑ Ile- peglyjeo ❑ <br />edAL eoltuaS 'E <br />V0608 0O -,1s6dS oO <br />alaa!O�!M 5Z6£ <br />Oil Puq�yDue�j <br />ON ❑ :molaq ss01ppa fU9All9p aalua 'S3A it <br />:o; passajppH eloi3Af ' G <br />SeA ❑ L I, weft wo.4 ;ueiefflp —ppe AIGAllep sl •Q <br />I` �i -,Z, s ;luuad eoeds ;l ;uou; eq; uo jo <br />Y/ h 'i 'aoaldliew eq ; ;o Moeq eq; o; paeo sly; yougV ■ <br />iaAl rJ ;o 3e •O (ewe N pexidd) Aq paAla a •I3 •no3( o; p uo eq; uan ;al ueo 9.m ley; os <br />asseappv ❑ asaanaJ ay; uo ssaJppa pus eweu mop( Mid ■ <br />3ue15y d,, - X 'pealsap sl iJOAllea P810u ;sea ;l b well <br />a�n}eyslS •y a;aldwoo osly •E pue 'Z ' G swell e;eldwoC ■ <br />