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U.S. Postal Service... <br />CERTIFIED MAIL,,., RECEIPT <br />(Domestic Mail Only, No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.comw <br />ir <br />' r <br />i <br />IZI <br />Certified Fee/ <br />- <br />J <br />0 <br />M <br />Return Receipt <br />Receipt Fee <br />(Endorsement Required) <br />O? tez) <br />I icr <br />O <br />rqPostage <br />44 <br />$ 1 <br />Restricted Delivery Fee <br />O <br />(Endorsement Required) <br />3, <br />rLJ M <br />Total Postage &Fees <br />,� S <br />M <br />Postmark <br />EDSent <br />To LARRY JOHN BEHRMANN <br />- <br />� <br />0 <br />p <br />•siroei, iipr: 11275 E 124TH AVE <br />.....--.. <br />Iso complete <br />r%- <br />or PO Box. BRIGHTON CO 80601 <br />•................... <br />desired. <br />mthe reverse <br />Clry, State, ZlP+4 <br />.................... <br />t0 you. <br />PS Form ' <br />E3 <br />f the mailpiece, <br />" <br />S. <br />M <br />C3 <br />ru <br />M <br />1. Article Addressed to: <br />LARRY JOHN BEHRMANN <br />11275 E 124TH AVE <br />BRIGHTON CO 80601 <br />A. <br />G ji .7/iS <br />/ 0 Agent <br />B. eceldirdby (Prind ame) C. Date of Delivery <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />3. ice Type <br />KRSertified Mail° 0 Priority Mail Express'"egistered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service labeg 7008 3230 0000 1295 3180 <br />PS Form 3611, July 2013 Domestic Return Receipt <br />u't <br />I <br />tT <br />rqPostage <br />44 <br />$ 1 <br />CertNiedFee <br />3, <br />C3 <br />/ <br />Postmark <br />C3 <br />Return Receipt Fee <br />(Endorsement Required) <br />? <br />v` , b <br />Here <br />C3 <br />Restricted Delivery Fee <br />E3 <br />(Endorsement Required) <br />M <br />Ill <br />Total Postage &Fees <br />r <br />�P 735 <br />M <br />ro <br />C3 <br />50'11 To Adams County/Board of County , <br />o complete <br />C3 <br />Sfreef, Commissioners4430 S. Adams <br />F' <br />lesired. <br />N <br />or POE County Pkwy.5th Floor, Suite <br />i the reverse <br />--•-----•-.............. <br />City, Stafe, ZIP+4 <br />_................... <br />:O you. <br />PS Form :rr August 2006 See <br />Reverse for InEAtuctions <br />the mailpiece, <br />, <br />1. Article Addressed to: <br />Adams County <br />Board of County Commissioners <br />4430 S. Adams County Pkwy. <br />5th Floor, Suite C5000A <br />Brighton, CO 80601-8204 <br />A. Signature 6 �� n _ <br />X t��k1WE rT9° a.x 1 e!i I ❑Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. DaW of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />3. S ice Type <br />Certified Mail® 0 Priority Mail Express'" <br />Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7008 3230 0000 1295 3203 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return ReAceipt <br />