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ZENDER.COMPLETE THIS SECTION COMPLETE THJS SECTION ON DELIVERY <br /> r Complete Items 1,2,and 3. A. Signature f <br /> Print your name and address on the reverse X ,AL 0 � nt <br /> so that we can return the card to you. ❑Addresset <br /> It Attach this card to the back of the mailpiece, B�Rec i ed by(Printed Name) C. D to 91,Deliver} <br /> or on the front if space permits. ry /� �� 6t <br /> I. Article Addressed to: D. is delivery address different from Item 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Town of Breckenridge <br /> PUbfc Works <br /> PO Box 168 <br /> Breckenridge,CO 80424 <br /> �I II�III III III I II IIIII II l�l II111�II I I II��) 3.Q Adult Signature ress@ <br /> e ❑Registered Mal;,, <br /> !! { I I I Jl ❑Adult Signature Restricted Delivery ❑Re istered Ma!I Restrict, <br /> rvery <br /> 9590 9402 4190 8121 5682 54 lip �M�estrfoted�„o,y p Rettu n Receipt for <br /> 13 Collect on Delivery Merchandise <br /> >_Grticla NumbeLITLaosf@r�rQf1?SeNiC9!fie D Collect on Delivery Restricted Delivery l7 Signature Confirmation" <br /> p Insured Ma Q Signature Confirmatlon <br /> 7 019 0140 0000 0503 8743 O Insured Mail Restricted DeWery Restricted Delivery <br /> cover S5o0 <br /> �S Farm 3811.July 2015 PSN 7r,30-n2-000-go5n.� Domestic Return RecelDt <br /> COMPLETENDER: COMPLETE THIS SECTION . ON <br /> i Com&te items 1,2,and 3. A. Signature <br /> K Printyd r name and address on the reverse X ❑Addresse+�l ❑Agent <br /> x; <br /> "§o4ttie can return the card to you. �? <br /> .'i4tt3r,61,tt)is card to the back of the mallpiece, B. Received by(Printed Name) C. Date of Deliver, <br /> -or on the front if space permits. <br /> Article Addressed to: } r D. Is delivery address different from Item 1? ❑Yes <br /> i If YES,enter delivery address below: [3 No <br /> r US Forest Service <br /> PO Box 620 <br /> - Silverthmme,CO 80498-0620 <br /> 3. Service Type U PrIority Ma ExpressO <br /> I I I III I III III I II I II II I I ll I I III I II I I I I I I I p Adullt 6 gnahse Restricted Delivery O RVg Iste d Mail Restrict <br /> 9590 9402 4190 8121 5682 30 o Certified Maly Del very <br /> 0 Certifed Mail ResViated Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> c1elVturtber CfpOSfeLfr4RLse�(4e l2be� n Co11ect on Delivery Restricted Delivery O Signature Conf rTnatlonr <br /> ❑Insured Mail Q 5a�� �m�aticn <br /> 7 019 0140 0000 0503 87811 13 IOVe Mali Restricted Delivery Delivery <br /> 7C Pn RR11 .Inty 9n1R FCAt 7svAn_19_MfLOn=% nnmoaVn.Rofirm Ra..1n1 <br /> 12 <br />