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• <br />os a erviceTF., <br />TIFIED MAIL,., RECEIPT <br />tic Mail Only; No Insurance Coverage Provided) <br />If <br />to <br />it- -t <br />_ . <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />$1.42 <br />$3.45 <br />$2.80 <br />Total Postage & Fees: V o'\ $7.67 <br />Cage • regia sp <br />No.; <br />Vo. <br />ZIP+4 <br />00 <br />Randy Schafer --- <br />Phillips County <br />221 S. Interocean Ave. <br />Holyoke. CO 80734 <br />See Reverse for Instructions <br />Certified Mail Provides: <br />• A mailing receipt �f �A-�A <br />• A unique identifier for your mailpieceFile i4Z. # o /u <br />OS Z. <br />• A record of delivery k9kst by the Postal S rvicee for two years `` <br />Important Reminders: 3% Z S 1vi� p <br />tts- <br />• Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®. <br />• Certified Mail is not available for any class of International mail. <br />• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br />valuables, please consider Insured or Registered Mail. <br />• For an additional fee, a Return Receipt may be requested to provide proof of <br />delivery To obtain Return Receipt service, please complete and attach a Return <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is <br />required. <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery". <br />• If a postmark on the Certified Mail receipt is desired, please present the arti- <br />cle at the post office for postmarking. If a postmark on the Certified Mail <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT: Save this receipt and present iit�t�w„Vhe�p 65400 inquiry. <br />6 R <br />PS Form 3800, August 2 P-00�9047 <br />ORMS-1313 $ �t �' � <br />SENDER: COMPLETE THIS SECTION <br />• 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. <br />Article Addressed to: <br />Randy Schafer <br />Phillips County <br />221 S. Interocean Ave. <br />Holyoke, CO 80734 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. S' <br />ature <br />, �a , e„s 0 Agent <br />iJ�� 0 Address. <br />d Name) C. Date of Delive <br />Driedt{i4E attdtaes different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />Certified Mail® <br />❑ Registered <br />❑ Insured Mall <br />❑ Priority Mail Express' <br />❑ Return Receipt for Merchandi: <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service Iabel9 <br />7014 0150 0000 9138 8199 <br />Spec. ERR <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />e# <br />eD In O 2- O <br />r+.p <br />rr O <br />C., <br />A: AE4 W <br />9 O <br />ft <br />A4 C <br />r 3 Cs <br />, <br />tJ0,C <br />0. <br />r-+" S n <br />CJI <br />tC' rA <br />A; <br />• <br />N <br />CD <br />0. <br />co <br />.D <br />(D <br />A) <br />N <br />CD <br />7 <br />O <br />C <br />v <br />2 <br />(D <br />0) <br />0. <br />0. <br />N <br />Cl, <br />0) <br />t2 <br />N_ <br />43. <br />is <br />X <br />• <br />UNITED STATES POSTAL SERVICE <br />