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P� <br />M - ) � 6 � - () <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. '::� <br />IN 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 />Jim Cherrington <br />Park County <br />P.O. Box 147 <br />Fairplay,CO 80440 <br />geceved b7T(Printed Name) C. Date of Delivery <br />11, V\- � �;IoL p-� 1 <br />D. Is delivery address different from item 1 ❑ ''4$ <br />If YES, enter delivery address belo'�,; ~E I No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 0150 0000 913 8 3361 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal Services., <br />QTIFIFD MAIL,, RECEIF <br />= inomestic Mail Only; No Insurance Coverage Nroviaec <br />.11 <br />M <br />M <br />$0.69 <br />Co <br />`�ti,' $3.30 <br />postage r 2.70 <br />Cr Certified Fee: y,, o <br />C3 Return Receipt Fee:l� <br />C3 6.69 <br />Ret <br />r-3 (Endorse postage & Fe <br />C3 <br />-Total J� <br />Restrict( <br />O (Endorser, <br />r-1 Total Postage & Fees $ <br />C3 <br />Jim Cherrington <br />zt- <br />Park County <br />r '4 <br />O <br />61 <br />LTo <br />POBox 147 ------------ - - -- <br />Fairptay, CO 80440 <br />o. <br />- - -----IP +a <br />PS Form :rr August <br />2006 See Reverse for instructiorw* <br />