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• SENDER: Complete items 1 and 2 when edditionsl services aro desired, and complete items 3 and 4. <br />Put your address in the "RETURN 70" space on the reverse sidE. Failure to do this will prevent this <br />card item Wing returned to you. The return recei t fee will rovide ou then of the arson <br />delivered to and the date of dative or additional ees the ollowing services are availab e. Consult <br />postmaster or fees and check box esl for additional servicels) requested. <br />1. ^ Show to whom delivered, data, and addressee's a dress. 2. ^ Restricted Delivery. <br />3. Article Addressetl te: 1. Article Number <br /> P 114 958 197 <br />Commissioners <br />Baca Count <br />y <br />P . 0. BOX 1 16 Type of Service: <br />Springfield <br />CO 81073 Registered 8lnsured <br />, Certified LJ COD <br /> Express Meil <br /> Always obtain signature of addressee or <br /> agent and DATE DELIVERED. <br />6. Signature -Addressee 8. Addressee's Address (ONLY If <br />X requested and fee paid) <br />sure - Ag 2 <br />X <br />7, Date of elivery <br />1 <br />~-~3-~ <br /> <br />/$ Farm 3Q17, Feb. lYa! <br />DOMG]IlG At1 VAN MGIaIYT <br />'` i <br />f~ <br />~. ~ <br />P 114 958 197 <br />RECEi?T FOA CERTIFIED ~_iAiL <br />Kp C15pWl;:GE COVERApE Pppy~pEp <br />YW FCR ClTER'JATIp;lAL 9AIC <br />(See Reverse) <br />Sent to <br />Baca Count Commissio er <br />Street and No <br />P.O. Box 116 <br />P`~pringfieled, CO 8107 <br />Postage S .. - <br />Cenilied Fee <br />Specai Deluvery Fee <br /> Resviaed Delivery Fee <br /> Realm Receipt shoymg <br />r 10 whom and Dale by <br />N <br />~ <br />Return Re Y~rt tyJpy <br /> Date. and dtl ss of Oi <br />t, <br />j <br />TOTgL p la~gntl Fq <br />~ cr <br /> <br /> Po5lmark or Dale <br />E <br />` <br />o <br />LL ' --- <br />h <br />e. <br />5 <br />