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SECTIONDELIVERY <br /> 11 • ' COMPLETE <br /> �OMPLETE THIS <br /> SECTION COMPLETE <br /> A. nest ■ Complete items 1,2,and 3. A. ign <br /> Ae items 1,2,and 3. g ❑Agent <br /> mple cur name and address on the reverse ant ■ Print your name and address on the reverse X ❑ ddress <br /> nt y� y A essee so that we can return the card to you. a o f ivy <br /> t we can return the card to you. B. ece' b ( rid Llr <br /> tha . R vad by(Printed ame C. D e of elive ■ Attach this card to the back of the mailpiece, ,,\\ <br /> :h this card to the back of the mailpiece, or on the front if space permits. <br /> tac I the front if space permits. <br /> orti�lP Aririroceari tin• 1. Article Addressed to: D. Is delivery address different from item 1? Ye <br /> D. Is delivery address different from item 1. ❑Yes If YES,enter delivery address below: ❑No <br /> If YES,enter delivery address below: ❑ No <br /> TELLER COUNTY DISTRICT SUPPLY COMPANY <br /> BOX 399 <br /> PO BOX 959 <br /> CRIPPLE CREEK,CO 80813 CRIPPLE CREEK,CO 80813 <br /> 3. Service Type ❑Priority Mail Express® <br /> 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MailTI <br /> Il I IIIIII I'll III i I I I l l I I II Illll II I IN 11111111 0 Adult Signature 0 Registered❑Adult Signature Restricted Delivery ❑Rgisterd Mad Restricted II I IIIIII IIII III l I I I I I I I II IIIII II I III II II I I III 0 Certified Ma 1®Restricted Delivery ❑Delivery <br /> Mail Restrictet <br /> Delivery <br /> ❑Certified Mail® Delivery 9590 9403 0904 5223 6762 34 ❑Certified Mail Restricted Delivery o Return Receipt for <br /> 9590 9403 0904 5223 6756 33 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise TM <br /> ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery Signature Confirmation <br /> Articles Nt imhor ITm—for frnm ��ti�n n Cnllxt nn Delivery Restricted Delivery Signature ConfirmatiWm 9 nrtinlA Ni,mhor/rranefor from soniico/aholl .d Mail ❑Signature Confirmation <br /> it ❑Signature Confirmation 0 7 7 9 6 5 9 7 d Mail Restricted Delivery Restricted Delivery <br /> 7 015 1660 0000 0779 5842 it Restricted Delivery Restricted Delivery 7 015 1660 0 00 0` $500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> S Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt -- - <br /> FEWER: COMPLETE THIS COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> SECTION <br /> ■ Complete items 1,2,and 3. A. Signat re ■ C A. Signature <br /> P Complete items 1,2,and 3. g <br /> ■ Print your name and address on the reverse ❑Agent ■ Print your name and address on the reverse X ❑Agent <br /> X <br /> so that we can return the card to you. ❑Addressee so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Receiv b (Printed Name) C Date of Delivery ■ Attach this card to the back of the mailpiece, B. Rec d by(Printed Name) C. Date of D livery <br /> or on the front if space permits. ,��r�,f N r L,nn 1� z9 110 or on the front if space permits. j�,� ( ,29 Ko <br /> 1. Article Addressed to: D. Is delivery address different from ite 1. El 1. Article Addressed to: D. I elivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No If YES,enter delivery address below: ❑No <br /> CITY OF CRIPPLE CREEK <br /> BOX 430 <br /> LANNING, TRENT A&MELISSA R CRIPPLE CREEK, CO 80813 <br /> PO BOX 1301 <br /> CRIPPLE CREEK, CO 80813 <br /> 3. Service Type ❑Priority Mail Express® 3. Service Type O Priority Mail Express® <br /> ll I IIIIII I'll lIl l I l I l l l l II IIIII ll IIIII I ll I I Ill ❑Adult Signature ❑Registered Mail— <br /> ll I IIIIII IIII Ill l l l I l I I I II Illl l Il l l IIII I l I I Ill ❑Adult Signature ❑RegisteredMailT" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Adult Signature Restricted Delivery ❑Rgisterd Mail Restrictet <br /> ❑Certified Mail® Delivery ❑Certified Mail® Delivery <br /> 9590 9403 0904 5223 6753 12 ElCertifiedMail Restricted Delivery ❑Return Receipt for 9590 9403 0904 5223 6761 42 ❑CertifiedMail RestrictedDelivery ❑ReturnReceipt for <br /> ElCollect on Delivery Merchandise ❑Collect on Delivery Merchandise <br /> ni„mhcr rTran.¢far from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM' 2, Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> Mail ❑Signature Confirmation — •d Mail ❑Signature Confirmation <br /> 7 015 1660 0000 0779 6078 Mail Restricted Delivery Restricted Delivery 7 015 1660 0 0 0 0 0 7 7 9 6702 red Mail Restricted Delivery Restricted Delivery <br /> 00) $500) <br /> IS Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receipt . PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />