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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sig tura <br /> ■ Print your name and address on the reverse �? �� - 13Agent <br /> so that we can return the card to you. CYAddressee <br /> ■ Attach this card to the back of the mailpiece, B• R/Qcei./iNed by(Print Name) C. Date of Delivery <br /> l ' <br /> or on the front if space permits. �'t�l U�,'l� �rad J/—, —/�f <br /> 1. D. Is delivery address different from item 1? ❑Yes <br /> ` If YES,enter delivery address below: ❑ No <br /> Rio Blanco County <br /> Commissioners <br /> P.O. Box I <br /> -meeker, CO 81641 <br /> ( I ISI II III II I II I I III I I I I I I III III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1140 78 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 r ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> 016 214 0 0 0 0 0 2345 7486 ,Insured Mail ❑Signature Confirmation <br /> __.__ ❑Insured Mail Restricted Delivery Restricted Delivery <br /> - -- —— – (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />