Laserfiche WebLink
<br />v <br />°a <br />C <br />a <br />C <br />C <br />t; <br />O <br />u <br />c <br />;; SENDER: <br />• Complete items 1 and/or 2 for adtlrtional services <br />~ • Complete items 3, 4a, and 4b. <br />H • Pnnl your name and address on the reverse of This form so Thal we can return this <br />cartl to you. <br />~ • Anach th s loan to the front of the mailpiece, or on the hack it space tloes not <br />` permit. <br />~ • Write 'Fefurn Receipt Fequestetl'on the mailpiece below the article number. <br />J= • The Rehm Receipt will show to whom the aNCle was deevered and the date <br />deliveretl. <br />0 3. Article Addressed to: 4a. Article <br />d Z 182 <br />E Fremont County Commiscione <br /> <br />I also wish to receive the <br />following services (loran <br />extra feeg <br />ai i <br />t. ^ Addressee's Address `-' <br />' <br /> <br />2. ^ Restricted Delivery ~ . <br />i <br /> n <br />Consult postmaster for fee. _n <br />_~_. 4! <br />451 <br />^ Cenified <br />^ Insured ~ <br />^ COD ~ <br />`o <br />'o <br />requested m <br />c <br />m <br />p ~ Registered <br />° 615 Macon Ave, Room 102 ^ Express Mail <br />Canon Clty, CO 81212 ^ Return Receipt for Merchandise <br />oQ 7. Date of D I~~ J <br />5. Received By: (Print Name) 8. Addr sae's Address (Only it <br />and lee is paid) <br />6. SiYgnatur (Add~ssee`or Agent <br />T <br />'-^ PS Form 3811, December 1994 t02595~9e~B 0229 <br />Z 182 451 259 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />n,. ~..r ~~~e rte. hmmnrinnal Mail /SBB leVerSe) <br />Sen1lo <br />Street 8 Numher <br />Post Office, tale.d a <br />Pgatage a 5-~ <br />Certified Fee Y~ <br />Spedal Delivery Fee <br />Resldged Delivery Fee <br />Relum Receipt Shomng to <br />Whom 8 Dale Dative ~ S ~ <br />Rerun ReceVl <br />bate, 6 Address A8 9~ <br />O <br />TOTAL Po ee $ Z V <br />Postrnark or ~ <br />9~ q <br />Domestic Return Receipt <br />