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► �-�� cal M c�� L (�,rn2.l <br />• Complete items 1, 2, and 3. Also complete A. Alture <br />item 4 if Restricted Delivery is desired. ✓� �JC�I <br />• Print your name and address on the reverse too <br />s t C. e of <br />that we can return the card to you. B. Received by (Printed Na e) CI n <br />• Attach this card to the back of the mailpiece, I J <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Gary D. Hill <br />Las Animas County <br />200 E. 1 st Street Room 110 <br />Trinidad, CO 81082 <br />D. Is delivery' address dii <br />If YES, enter delivery <br />(91�7t2 <br />3. Service Type <br />EtCertified Mail ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 012 3460 0 0 0 0 6384 719 5 <br />(transfer from service lab_ , <br />III PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M- 154(1; <br />Postal <br />(Domestic CERTIFIED MILT,, RECEIPT <br />Ln Only; <br />Ir <br />CD <br />M 7r <br />rn Postage $ � <br />-0 <br />co <br />Certified Fee <br />/ <br />C3 Return Receipt Fee 0pstmark <br />Q (Endorsement Required) Here <br />C3 Restricted Delivery Fee <br />O (Endorsement Required) - <br />-I- Total Postage & Fees $ g . <br />M <br />ru Sent To Mr. Gary D. Hill <br />Street, Apt. -------------- <br />E3 or PO Box Las Animas County <br />r` 200 E. 1 st Street Room 110 ----- - - - - -- <br />C�ry, State, <br />Trinidad, CO 81082 <br />