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SENDER: COMPLETE THIS SECTION I COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X 0 Agent <br /> so that we can return the card to you. 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> °rTin1 ^''' ^ " —_"f=� D. Is delivery address different from item 1? ❑Yes <br /> Moffat County Commissioned If YES,enter delivery address below: 0 N <br /> 221 W. Victory Way ' ' <br /> Craig, CO 81625 <br /> I I III II I III III I II III III I I I I II II I II II I I 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 11 Certified Mail® Delivery <br /> 9590 9402 2543 6306 1143 75 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 .1 �._�___..__, H_ ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT <br /> Insured Mad ❑Signature Confirmation <br /> 7 016 214 0 .0 0 0 0 2346 2473 7 Insured Mail Restdcted Delivery Restricted Delivery <br /> i (over$500) - <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />