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• Postal716 MITI <br /> CERTIFIED MAIV RECEIPT <br /> ro <br /> Donlrestit A60 O. . <br /> -0 -D <br /> Fort Coll+ris r CO `0528 �rw_e r IS.�. <br /> a a <br /> Er 117 <br /> Qom' l+ � = <br /> Ir <br /> p s�il,iiia p <br /> p p <br /> Im <br /> ru Total Postago.rrd r.•"j -- —- t (E°f iZF I&r rU To'4 Povtag.,and"V " — 02/22 <br /> ; .'. go 13 <br /> - ;- -- -- - -- - - - ---- - <br /> r-j <br /> r q W41-D COUNTY PUBLIC WORKS <br /> POUDRE V.A F:Y RE A '.;, PO BOX 758 <br /> p ',i,=,._. ;,,, 76d9 REA PARFCWAI' -- C3-- -- - - �FOR I C01 LINS.CO 80i2s GRI F1 I Y,CO 906:_, <br /> r r, rrr•r - r <br /> COMPLETE1N i' COMPLErE THIS SECTIONON <br /> ■ Complete items 1,2,and 3. A. mature <br /> ■ Print your name and address on the reverse x t " C]Agent <br /> so that we can return the card to you. [3 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. ` � Z <br /> 1. Article Addressed to: 0, is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> POI URI- .I,LI) RL\ <br /> '60R1 RKAAN' <br /> 1()R-1 <(' ,INS-Co Noi-28 <br /> 3. Service Type ❑Priority Mal Express® <br /> �i, �) 0 Certified 1* ❑Rogittleired M� <br /> ❑Adult Signature Restricted Delivery ❑ island Mail Restricted <br /> 9590 9,402 632-i 0296 4526 03 oco auto Mail <br /> iveRestrfc0ed(elhrery ry ❑S:gnnattwueConfirmationTM <br /> 2 nrAe—t- Delivery Restricted Delivery Restricted Delivery <br /> ?018 2290 0001 9491 36?7 i Restricted Delivery, <br /> I tover 4�ouu, <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X / Agent <br /> so that we can return the card to you. `— = ❑Cl 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 ace_ sp permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes` <br /> If YES,enter delivery address below: p No <br /> f„r 1)('()1 n ht'Bi W WORKS <br /> �'l I l3OX-is <br /> + 3. Service Type ❑Priority Mail Express® <br /> ❑Adult re Restricted Dellmy ❑Re <br /> Mall Restricted <br /> II I e eegg <br /> ❑Certified Marl® Dellvety <br /> 9590 9402 6324 0296 4525 9' ❑Certified Mall Restricted Delivery ❑Signature conr.mationTM <br /> - ❑Colloct on Delivery ❑Signature Confirmation <br /> 2. n.+:.,e„�r.._,,,,.,,.it....a..s..................r.�. ^ri,,,..nn'+slivery Restricted Delivery Restricted Delivery <br /> 7 018 2290 0 0 01 9491 3684 Restricted Delivery <br /> > ,u, <br /> Ps Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />