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COMPLETE •N COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverseX eAgent <br /> so that we can return the card to you. -'� ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, <br /> B. Aeceived by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. i�t h'4`(Q-1- <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> �-- If YES,enter delivery address below: ❑No <br /> Moffat— <br /> County Commissioners <br /> 221 Victory Way <br /> Cram, CO 81625 <br /> II I IIIIII Ilii III III I I I III II II I I II IIIII III III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 5506 9249 0531 90 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 -- - - r7 Collect on Delivery Restricted Delivery ❑Signature ConfirrnationTM <br /> 7 019 2280 0 0 01 8 2 5 4 8 3 9 5 1 Insured Mail ❑Restricted Delivery <br /> ture Confirmation <br /> ❑Insured Mail Restricted Delivery ry <br /> love $500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />