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~ ~ r, l~~r ~7 N~-d-) P. ~ r, <br />l~']l~( ~(~ -oaf K " <br />^ Complete items 1, 2, antl 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atldressed to: <br />TIM DAVIS <br />WASHINGTON COUNTY <br />551 W 2ND <br />AKRON CO 80720 <br />~-d9-o3 <br />'To ar/~ 3 <br />b Received by /Please Pant Clearly) I B. Date or <br />C. Signature <br />X - ~ O Agent <br />~--r ^ Addressee <br />. Is delivery add ss different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. a ice Type <br />Certified Mail ^ Express Mail <br />Registered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Number (Copy /tom service label) <br />~ooo i~~Q aaoo o~ogti (mil-4~4 <br />PS Form 3a11, July 1999 Domestic Retum Receipt tp2595-paM-ps52 <br />S <br />rn _ <br />o DM64313 Sherman, Rm. 255, Oeawer, CU 80203 <br />~' Postage $ <br />~ ~ •• ~~~~~' Certified Fee ~ `~~-'- ~ ~' <br />O rt~ark <br />O Return Recaipi Fee ij~ ~Cj(~l COHe t <br />(Endorsement Required) ! <br />ResMCted DeOVe Fee (i S ti <br />qO (Endorsement Required) pPR~ `11 <br />s <br />q total voataga 8 Fees ,~' ~ -7 ~ ~~1 ~ <br />.~ Ree1Pi 1, ~'~ y k . ~ <br />~ -------- ~ ° -'~ b'kS 9t ----r ~=---- <br />q street. TIM DAVIS ~~ ,; <br />q WASHINGTON COUMT;Y~V _.,, <br />q GN. s. -551 W 2ND - -, .. <br />rv AKRON CO 80720 <br />