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Certified Mail Receipts <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> b <br /> ■ Complete items 1,2,and 3, fD. <br /> Print your nameand address on the reverse <br /> so that we can return the card to you. O Agent <br /> ■ Attach this card to the back of the mailpiece, Y(Printed Name Addressee <br /> e ) C. Date of Delivery <br /> or on the front if space permits. UN 2 6 z0�7 <br /> Article Addressedto: delivery address different from item 1? ❑Yes <br /> Carolyn TiceYES enter delivery address below. [) No <br /> City of Walsenburg <br /> 525 S.Albert <br /> Waldenburg,CO 8Yo89 <br /> -- --- — Se-:ceType <br /> Auua Signa uie ��Prronty'Near;Expresso <br /> Adult Sig,iature Rstnctetl Deirver ` Registered 10dillm <br /> Certified Maurjl3 y C Registered Mail Restricted <br /> Certified Mail Restricted DeliveryDelivery <br /> Collect on Deliv Re Receipt for <br /> 4rTlrlo Ni imhar fTransfar from sarvira/ahn/1 ❑Collect on Delivery Merchandise <br /> Restricted Delivery ❑Signature ConfirmationTM <br /> 111 Signature 7 014 2120 0001 7885 7467 all Restricted Delivery ❑Restricted Delivery <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 I <br /> Domestic Return Receipt <br /> Postal <br /> CERTIFIED p RECEIPT <br /> N Domestic Mail Only <br /> Ln <br /> cc Postage: <br /> r- Certified Fee: - $0.460 <br /> o Return Receipt Fee: $3 50ark <br /> C3 c 5. e <br /> C3 ( Total Postage and Fees: " <br /> ti $6.56 <br /> ra Total Postage&Fees $ <br /> ru <br /> Sent To Carolyn Tice <br /> 0 3°beef&Apt NO.,- 525 SCity of AlbeWalrt burg <br /> or PO Box No. <br /> C� ------• Waisenburg,CO 81089 <br /> City,State,ZIP+4 -------------------------- <br /> mmm <br /> PS Form :00 <br />