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Summit Brick & Tile Company Native/Pierre Mine <br /> M-1977-321 Proof of delivery <br /> SENDER: DELIVERY <br /> ■ Complete items 1,2,and 3. A. S <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. D e of_D�f livery <br /> or on the front if space permits. Cl 15/I.J <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> 1 <br /> Pueblo County Board of County Commissioners <br /> 215 10th Street <br /> Pueblo, CO 81003 <br /> r <br /> I'II')III II I III I IIII� ' III I I I I I 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> t ❑Certified Mail@ Delivery <br /> 9590 9402 5269 9154 9553 38 ❑Certified Mail Restricted Delivery O Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> ❑Insured Mall ❑Signature Confirmation <br /> 7 019 2 9 7 0 0000 4461 8033 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt t <br /> Postal <br /> oRECEIPT <br /> m <br /> f77 Domestic Mail Only <br /> 0 <br /> ro For delivery <br /> PUf= , information,II <br /> 77r }xM. <br /> Certified Mail Fes <br /> Extra Services&Fees(chec ox,add a a$pfpr¢�te) <br /> ❑Return Receipt(hardcopy) <br /> O ❑Return Receipt(electronic) - �1 Poi k <br /> CJ <br /> El Certified Mail Restricted D very - • <br /> ❑Adult Signature Required $ 1 I <br /> ❑Adult Signature Restricted D livery$ - O <br /> Postage $1 k a <br /> nj Total Postage and F eS•30 y�O IS <br /> r-3 Sent To <br /> p Pueblo County Board of County Commissioners ---------------- <br /> Street anc <br /> 215 loth Street <br /> City,"State Pueblo,CO 81003 --""""""""""--"" <br /> r r r rrr•r. - - - <br /> 49 <br />