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^ Complete items 1, 2, and 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 cans to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. AM1icle Addressetl to: <br />.._- _ _~ <br />Mr. Doug Keith <br />Operations Supervisor <br />Park County Road and Bridge <br />PO Box 147 <br />Fairplay, CO 80440 <br />A. Receiv by (Please Pdnt Cleady) B. Date of Delivery <br />von~~ mtaMM _ <br />C. Signature <br />x ~ M ^ Agant <br />/ 1 ~ ^ Atltlressee <br />D. Is tleliv tliflarent hom item 17 ^ Yes <br />If .Wr~~ve tltlress Delow: ^ No <br />~P' SAP o _a.-.~.~r <br />2r °'I®®` <br />n.~nt i tar~""~ <br />Service Tpy~~ ~ ~""'-~-`"~~ <br />Certified Mb11 ^ press Mail <br />~tQa[,11~0 Return Receipt for Merchantlise <br />^ Insu ai ^ C.O.D. <br />4. Restrictetl Delivery? (Extra Feel ^ yes <br />2. Micle Number (Copy lrom service label) <br />7~ IG ~0 0000 0189 (~ogs <br />PS Form 3811, July 1999 Domes4c Return Receipt '~'102595~OO~M-0952 <br /> <br />u} <br />~' <br />° UMG•1313 Sharfnan, Rm 215.Oanv~r. rn anana <br />~ Postage S <br />~ Ceni4ea Fee. <br />° ~ Postmark <br />Return Receipt Y t ~ `\ Here <br />p (En[lorsemenl Renufr 1 <br />p ResV¢ted Delivery( ea F <br />p (Entlorsement Requiteu) ~ ~~ <br />° _ Total Postage 8 Faes_ ~~ l ~'[_ ~~ _ , <br />Mr. Doug Keittj~ _` ma„ei <br />Operations Superusor.• - <br />-- ... - <br />o Park County Road and Bridge <br />- ... - <br />,~ PO Box 147 <br />~ Fairplay, CO 80440 <br />