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SECTION—T1 COMPLETE THIS . . <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3. A Slgnai <br /> 0 Agent <br /> ■ Print your name and address on the reverse X p ddressee <br /> "17711 <br /> SO we, that can return the card t0 you. <br /> 1 _•w..( B.MRb (Printed N�''e) C. Da <br /> ® Attach this card to the back of the mailpiece, `7 <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item i? es <br /> if YES.enter delivery address below ❑No <br /> RIO BLANCO COUNTY <br /> P0 BOX 599 <br /> `^ MEEKER;CO 81641 <br /> 1 Ii 1 3. Service Type ❑Priority Mal Express® <br /> II �IIIII IIII III I III'I I II1 III II II I II( III II �II ❑Adult Signature ❑Registered MailT <br /> ❑Adult Signature Restricted R Restricted Delivery Registered Mail Restricted <br /> ❑Certified Mal® Delivery <br /> El Certified Mail Restricted Delivery ❑Return Receipt for <br /> 9590 9402 1217 5246 1940 73 ❑collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery 0Signature Confirmation"^ <br /> 9. Artirl�Numher(Transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> 7 015 1520 0000 9895 9645 ❑insuredI Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ) <br /> O <br /> Ln I. <br /> S <br /> 7 b <br /> Ln <br /> Q' Certified Mall Fee $3.35 <br /> Er $ $2.75 07 <br /> Extra Services&Fees(check box,add tee 40°. te) <br /> ❑Return Rece pt(hardcopy) $ r ___ - <br /> OO ❑Ratuin Receipt(electronic) $— -`0 Postmark . <br /> 3 ❑Certified Nail Restricted Deliveiy $�T.- Here <br /> 0 ❑Adwt Slgnatura Regwred $ I t fii i _ <br /> ❑Adult Signature Restricted Dchaery$ i "'f 7h 7 <br /> C3 Postage $1�19 <br /> rU $ 05/0512�11't <br /> � Total Postage and 176.29 _ <br /> V") Sent To <br /> r 9 RIO BLANCO COUNTY <br /> ------------------------ <br /> Street and Apt. —13 0 BOX 599 <br /> G1y,State;Z/P+4 MEEKER CO 81641 -----------`----------- <br />