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10 Iffill <br /> 1� <br /> ir <br /> rU 77"RONIGOV P 81301.L-► - �—� <br /> fu CertiiiedFee <br /> � . <br /> �io,[Il I <br /> 0 Return Receipt Fee j .Postmark 11;�;;� :)� <br /> (Endorsement Required) [I,j I(I f O•Here <br /> Restricted Delivery Fee � \ <br /> • p (Endorsement Required) <br /> 17- <br /> 0 3er La Plata 60'Ulty-BOCC <br /> C3 S(rc 1101 E 2nd Ave ------------- <br /> orDurango Colorado 81301SENDER: COJOPLETE THIS SECTION COMPLETE THIS <br /> SECTION . IVERY <br /> ■ Complete items 1,2,and 3.Also complete _ A. gn ture <br /> item 4 if Restricted Delivery is desired. /! ` P Agent <br /> ■ Print your name and address on the reverse X J n Addressee <br /> so that we can return the card to you. B. ive �y(Print ame) C. Date of Derive <br /> ■ Attach this card to the back of the mailpiece, ��, <br /> or on the front if space permits. t <br /> D. IsUd.I'very ad ress different from item 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> La Plata- 3tinty-BOCC <br /> 11.01,1;2- Ave <br /> Duranga Colorado 81301 3. Service Type <br /> ❑Certified Mail ❑Express Mail <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7010 1670 0002 1752 1691 j <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154 <br />