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iiosiar-zieuiice <br /> CERTIFIED o RECEIPT <br /> u► Domestic <br /> o For delivery information, <br /> Ln # „� <br /> - , <br /> = Certified Mail Fee <br /> m $ 3 .7 S t, <br /> nJ Extra Services&Fees(checkbox,add fee as appropriate) F <br /> ❑Return Receipt(hardtop}) $ tJ� <br /> C3 ❑Return Receipt(electronic) $ 7 Postmark <br /> � El Certified Mail Restricted Delivery $ ere <br /> O ❑Adult Signature Required $ �� <br /> ❑Adult Signature Restricted Delivery$ �O O Postage <br /> S $ <br /> r-q Total Postage and Fees 5-+ <br /> ru <br /> _a Sent To Mr. Randy Schafer <br /> p Street andApGlVo.,orPl Washington County - - - <br /> 1171— ------------------------ <br /> 40586 Co. Rd. 21 <br /> City,State,ZIP+4b - -- <br /> :„ „ Haxtun, CO 80731 <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of the altlt= for an electronic return receipt,see a retail <br /> ■A unique identifier for your rha I L��'J associate for assistance.7o receive a duplicate <br /> ■Electronic verification of del��m•�r• a 1; nf u n receipt for no additional fee,present this <br /> delivery. of f v ®-postmarked Certified Mail receipt to the <br /> ■A record of delivery(including the recipients re i late. <br /> signature)that is retained by the Postal Service' -Restricted delivery service,which provides <br /> for a specified period. delivery to the addressee specified by name,or <br /> to the addressee's authorized agent. <br /> Important Reminders: Adult signature service,which requires the <br /> ■You may purchase Certified Mail service with signee to be at least 21 years of age(not <br /> Frst-Class Mail®,First-Class Package Service", available at retai). <br /> or Priority Mail"service. Adult signature restricted delivery service,which <br /> ■Certified Mail service is not available for requires the signee to be at least 21 years of age <br /> international mail, and provides delivery to the addressee specified <br /> ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent <br /> with Certified Mail service However,the purchase (not available at retail) <br /> of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Prionty Mail items. USPS postmark.If you would like a postmark on <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for <br /> the following services- postmarking.If you don't need a postmark on this <br /> -Return rrecc�eiipptt service,which provides a record Certified Mail receipt detach the barcoded portion <br /> DV cdn'rb'Lest char co r tt eel o a n of tMl0i ffeposg t&e .2010111111111�p <br /> electron 3F c�t"r PROtOM elan�iteposd a ailpiece. <br /> comp) Z` `5``��� <br /> Receipt,attach PS For )etWerphpd ie� 8®Qj#,,,3ave this receipt for your records. <br /> Ps Fern,380%April 2015(Reverse)PSN 7530-02-000-9047 <br />