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SENDER: l SECTION <br /> ■Complete Items 1,2,and 3. A.8lcnetlxo <br /> ■Print your name and address on the reverse X Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■Attach Will owd to the beck of the mallplece, a.Received by(Printed Name) C.Date of Delivery <br /> or on the front M Splice parnits. <br /> 1 1.Article Addressed Is: 0.Is delivery address different from Ilem 17 ❑Yes <br /> If YES,enter delivery address below: [INo <br /> I Jefferson County <br /> Board of County Commissioners <br /> i 100 Jefferson County Parkway <br /> Golden,Colorado 80419 <br /> 3.Service type ❑Rlb*Mw E"..e <br /> I II I'Iryel I'II I'I I II I IIII I'II I II II I II I III'II III 0 Ad D Ceud l d WHO ReseklW D.Iivery ❑Rip INaa MaM RgtrkleJ <br /> 9590 9402 1727 6074 717108 13 milled MaW Restricted Delivery ❑Rilu n Rasapt for collect on Delivery <br /> MetdrerMhe <br /> 2.Mlkh Number(Fr&Wer front$Wvko ASW ❑DOW on Delvery Raslrloled Deavary 0"lure on Conennau ^" <br /> 1 ,^, 0 lna aad MaN ❑signature 0.11—tlon <br /> —Ion 1450 wc,O�1, Oo ( (os OlnwrW MN Reetrkted DNNery R.remW 001" <br /> j PS Form 3811,July 2018 PSN 7530-02-000-e053 Domwao Return Receipt I <br /> Postal <br /> e• <br /> CERTIFIED It <br /> IL"RECEIPT <br /> • .n .n .n <br /> M M M -ce-tilleam Fas <br /> C3 - o 0 <br /> 0 0 0 <br /> N N ru Owtumnm+NMaewn b <br /> C3 0 C3 ❑RaLaa R«.tat neowva i Postmark <br /> 0 0 0 I]cenuee autermraor..+ 7 Here <br /> 0 Co 0 ❑naarets�aaae neeuaa b <br /> -- ❑MJr BitneM nsaabNa 4imri <br /> 0 Oul l iOl Postage <br /> rR <br /> * t <br /> Tatal Postage and Fees <br /> (71 e <br /> 0 � sam <br /> n. <br /> 1.. 1` 1, <br /> h'eaf a:dApi:17'o:.-oi P0rWea'No....._...._...................................�... <br /> CYj;'sieib;YlPile.................................. <br /> e <br />