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;; SENDER: <br />9 •Complele items 1 ardor 21or edditiond ceMCec. I a15O wish tO feCeiVO 1FIe <br />i •Complele items 3, ea, and 4D. fOIIOWIrIg SBNICBS (for an <br />m • Print your name end address on the reverse of this form so that wa can return this extra fee <br />~ <br /> <br />j Card to you. <br />•AttaM N,s fo+m to the haft W the malpiece, or on the beck if space does nW <br />it <br />7. ^ Addressee's Address ei <br />`-/ <br />Z <br />m <br />p perm <br />. <br />• Wrtla'Retum Receipt Requesred'on the mailpieCe below the artitle number. 2. ^ Reslrtcted DBIIVery 9 <br />rj> <br />~ •The Return Receipt will show to wiwm the ertitle was delneretl end the dale <br />~ delivered. Consult postmaster for fee. <br />0 <br />v 3. Article Addressed to: 4a. Article Number o <br /> <br />Y <br />o <br /> <br />HITCH BUTTEP.PIE-i.D Z 192 120 843 <br /> <br />E <br />E CHAFFEE COUNTY 4b. Service Type <br />o <br />~ <br />P.0. BO% 699 <br />^ Registered ^ Certified <br />a <br /> SALIDA CO 81201 ^ Express Mail ^ Insured S <br /> <br />^ RetumReceiptforMerchandise ^ COD n <br />c a <br /> 7. Date of slivery -- <br /> <br />~/ <br />z <br />3 `~ <br />o <br /> „ <br />- >+ <br /> 5. Received By: (Print Name) 8. Addr sea's Address (Only i! requested <br />~ , and !ee is paid) ~ <br />r- <br />~ 6. Si tut dressee or Agent) <br />0 <br />T <br />r <br />N <br />PS Form 8 1. December 1994 <br />N <br />°o <br />m <br />IL <br />a <br />.Z 192 2.20.842 <br />US Postal Service . - , r `~ ~' <br />Receipt for Certil(etf ' YMa+~'~=-~~ <br />No Insurance Coverege Provided. <br />Do trot use for International Mail See reverse <br /> <br />sent tCBAFFEECCOUN'TY AFIELD <br /> <br />Sree1 RrNUmDer W <br />P.0. BO% 699 ~ <br />Poll Office, State, 8 ZIP Coda ~ <br />SALIDA CO 81201 ~ <br />Pmiaga S 3 <br />Ceroeed Fee ~ <br />Spxial Delivery Fee <br /> <br /> <br />Restricted Deevary Fee ,r N <br />Return Recapl Shownpfy <br />~@ C <br />~ f <br />~ <br />whmm a Dale Deere 1 rj <br />~ <br /> <br />~ <br />~ n; <br />~ <br />' <br />'~ <br />a <br />cr's / <br />Dom, 8 !j <br />, <br />:. c <br />U <br />rorA~ Postage a ee Y ; a m <br />Postrnark or Date \ ~'h ' ~.~ <br /> <br /> <br /> <br /> O <br />w. <br />