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T-( M <br /> � z�a (,40 <br /> . . . <br /> SECTIONSENDER: COMPLETE THIS <br /> A. Signat <br /> ■ Complete items 1,2,and 3. 0 A,yent <br /> ■ Print your name and address on the reverse X W(ddressee <br /> RECEIVED so that we can return the card to YOU. B. R b (Printed Name) C. D <br /> ■ Attach this card to the back of the mailpiece, IV ✓� <br /> y' <br /> or on the front if space permits. 0 es <br /> MAY 2 3 2�11 1. Article Addressed to: D. Is delivery address ry ad front item 1? <br /> If YES.enter delivery address below: ®No <br /> RIO BLANCO COUNTY <br /> Division 01 Rf_�',`=�?" P 0 BOX 599 <br /> Min,rYgrciy MEEKER,CO 81641 <br /> 3. Service Type ❑Priority Mal Express® <br /> II I�I'I IlII III i III I I IIi II�II I�I II I II II �II ❑Adult Signature ❑Registered Mai <br /> ❑Adult SiSignature [3Restricted Delivery Registered Maill R Restricted <br /> ❑certified MalIS Delivery <br /> p Certified Mail Restricted Delivery p Return Receipt for <br /> Merchandise <br /> 9590 9402 1217 5246 1940 73 <br /> ❑Collect on Delivery p signature Confirmation` <br /> 0 Collect on Delivery Restricted Delivery p Signature Confirmation <br /> 9_ Artirle Numher(transfer from service label) ❑Insured Mail Restricted Delivery <br /> 7 015 1520 0000 9895 9645 ❑insured Mail Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br /> Postal <br /> CERTIFIED o RECEIPT <br /> "n Domestic Mail Only <br /> I' <br /> Ln ��q' CertifieG r✓,a,�f ea $32.35 11J_1 <br /> CE) $ $2.75 07 <br /> Q' Extra Services&Fees(check box,add fee ) s <br /> O ❑Retum Receipt(hardtop» $ ��r++,.U�,�;., <br /> C3 ❑Retum Receipt(electronic) $ PostmHlK <br /> C3 ❑Certified Mail Restricted Delivery $ W OU Here <br /> C3 ❑Adult signature Required $ 60,00 p �({7 <br /> ❑Adult Signature Restricted Deli$ Y '• , C V t 7 <br /> C3 Postageni <br /> Ln <br /> Total Postage and W.29 <br /> a <br /> u1 Sent To <br /> r-9 RIO BLANCO COUNTY <br /> $fieefandApLNo.,—P 0 BOX 599 <br /> Ciry"$Lste;Z/P+4" MEEKER CO 81641 <br />