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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address orr 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(P' ed Nam C. Date of Delivery <br /> or on the front if space permits. <br /> 1. ArtidA Adriracgpd_to- D. Is delivery addre om item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Rio Banco County <br /> Cornifssioners <br /> R.0. k I <br /> Mee er, CO 81641 <br /> II I II�(ll 'I�i II II I I) I I I I I�I III III III'I 3. Service Type ❑Priority Mail Express®I ❑Adult Signature ❑Registered MaHTM <br /> 11Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1143 68 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. A,+;Ai 10—h—rrmncfar from carvira iahail ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation' <br /> ❑Insured Mail ❑Signature Confirmation <br /> ?016 2140 0000 2346 246t, ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />