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COMPLETE <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse '- // El Agent <br /> so that we can return the card to you. V ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. R ceived by(Printed Name C. a of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? Ye <br /> If YES,enter delivery address below: [I No <br /> Fort Lupton Public Works <br /> 800 12th St. <br /> Fort Lupton, 80621 <br /> 3. Service Type ❑Priority Mail Express® <br /> II I IIIIII IIII III i III I I II I I I I I I I II I I I I I�I I I I�II ❑Adult Signature ❑Registered Mail <br /> TM <br /> ❑Adult Signature Restricted Delivery El Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 6934 1104 8406 $2 ❑Certified Mail Restricted Delivery ❑Signature ConfinnationTM <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> Al;^, ni., h .rrr�„ef< f „,�a„,i o r.han I]Collect on Delivery Restricted Delivery Restricted Delivery <br /> I Insured Mail <br /> -0 21 19 7 0 0000 3163 6284 1 Insured Mal Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br /> f <br /> COMPLETE •N COMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X JODI BROOKS ❑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(Priny NN Aflame) C. Date of Delivery <br /> or on the front if space permits. 2 3 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Western Midstream <br /> PO Box 173779 <br /> Denver, CO <br /> WA17 I <br /> IIIIIII IIII III I III I I II I I I I I I I II I II I II I I II III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 6934 1104 8401 01 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> nwl�i>Ni mhPr(Transfer from SefvlCe label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> '021 1970 a0oa 3163 6291 ❑Insured Mail <br /> ❑Insured Mail Restricted Delivery <br /> - lover$500) <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br /> i <br /> COMPLETE SECTION COMPLETETHIS SECTIONON DELIVERY <br /> N 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. ❑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 /> 1. Article Addressed to: D. is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> CCWCD <br /> 3209 W 28th ST <br /> Greeley CO, 80634-7554 <br /> 3. Service Type ❑Priority Mail Express® <br /> II I IIIII IIII III I III I I II I I I I I I I II I I�(I II I I�III ❑Adult Signature ❑Registered Mail <br /> TM <br /> ❑Adult Signature Restricted Delivery ❑ Restricted <br /> Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 6934 1104 8401 49 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> n H.,Jo M imhar(rransfer_fl pfn service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> 7021 1970 0000 3163 6338 r InsuredMaiT <br /> Insured Mail Restricted Delivery <br /> ---- - (over$500) <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />