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' 1M <br />TIFIED MAIL., RECEIPT <br />. tic Mail Only; No Insurance Coverage Provided) <br />:00. Augus r I • ee • everse for Instructions <br />;jam r ■ .rr..y iY'"I',� �\ <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Total Postage & Fees: <br />tege & Fees I $ <br />No.; <br />No. <br />ZIP+4 <br />' 0.485 <br />AP .hn <br />$2.8d <br />Randy Schafer <br />Phillips County <br />221 S. Interocean Ave. <br />Holyoke- CO 80734 <br />Certified Mail Provides: SP <br />• A mailing receipt ��Ie # M ZOO a S Z <br />• A unique identifier for your mailpiec <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: COASe f . iorei <br />Nk <br />• Certified Mail may ONLY be combined with First-Clas 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 it when making an inquiry. <br />PS Form typt1tg of Revere lPsrtiatm a i00-04mver, CO 80203 <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. 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 />nature <br />Received by pririted Name) <br />❑ Agent <br />❑ Address( <br />C. ffDaaLte of Delive <br />D.iedgieltatakest different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />XCert fled Maile <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express' <br />❑ Return Receipt for Merchandi: <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />I 2. Article Number <br />r (Transfer from service IabeO <br />7014 0150 0000 9138 8267 <br />PS Form 3811, July 2013 <br />ec.k <br />Domestic Return Receipt <br />ro <br />CD <br />f7 <br />0 <br />00 <br />O <br />N <br />O <br />w <br />i" v v h <br />w cu a, <br />w V+• y m <br />3 O <br />re n <br />w3 -I. 0 <br />r -Ow 0) <br />rt sv Z p <br />v <br />re <br />r+ - <br />O v <br />3 <br />O 70 <br />O g CD <br />O <br />Cra <br />N O n <br />CD <br />v <br />re <br />,-r <br />• Sender: Please print your name, address, and Z1P+4® in this box• <br />N0)o"TI <br />-osnw <br />zee f <br />9 go <br />G) m K <br />_a (D R. <br />o - <br />-o <br />fy <br />a <br />