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Z �O Lao V( <br /> SECTION . <br /> PLETE THIS SECTION <br /> A Signa <br /> ■ Completes 1,2,and 3. � ❑Agent <br /> ■ Print your name and address on the reverse X ddressee <br /> so that we can return the card to you. C. D <br /> B. R,e�et� b (Printed N <br /> ■ Attach this card to the back of the mailpiece, ame) <br /> 'p�(p <br /> or on the front if space permits. <br /> 1 1. Article Addressed to: D. Is delivery address different from item 17 ❑ es <br /> }� L If YES.enter delivery address below: ❑No <br /> RIO BLANCO COUNTY <br /> PO BOX599 <br /> MEEKER,CO 81641 <br /> 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> II �I�I�I IIII III I,II I I II�II!II II I II I II I II �II •Adult Signature Restricted Delivery ❑Derrrery Ma l Restricted <br /> ❑Certified Mail® <br /> 9590 9402 1217 5246 1940 73 El Certified o collect n Delivery Restricted Delivery ❑RueMerchandise for <br /> ❑collect on Delivery Restricted Delivery ❑Signature Confirmation""' <br /> 9. Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> 7015 1520 DDDD 9895 9645 <br /> ❑inn mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt , <br /> St <br /> a[Service <br /> • ® O • • <br /> I. <br /> 0- <br /> 7 <br /> u7 <br /> D'• Certified Mall Fee <br /> co $ y$2�6.75 07 <br /> Extra Services&Fees(check bor,add fee 400- te) <br /> O [IReturn Receipt(hudcopy) $__-4 <br /> ED ElReturn Receipt(electronic) $ Vty-- Postmark <br /> E3 ❑Certified Mad Restricted Delivery $ t�y'• "� Here <br /> E-3 ❑Adult Signature Required $ <br /> ElAdult Signature Rectricted Delivery$ I• �r J <br /> C3 Postage 1 1 Q <br /> Ln $ [15/05/2011 <br /> Total Postage and F .29 K <br /> 5 ~ <br /> L1 Sent To s <br /> r9 RIO BLANCO COUNTY <br /> C3 '8hue?and Apt.No., <br /> N —P 0 BOX 599 <br /> Crry Stara;ziP+4 MEEKER CO 81641 -----"-"""""----- <br />