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•SENDE R: Complete items 7 end 2 when adtlitlonel cervlcea ere decl req end complete Items 3 <br />antl d. <br />Put your atltlress in the "RETURN TO" Space on the reverse slde. Failure to do this will prevent this <br />cnrd from bainB raturnetl to you. The return receipt fee will orovltle you the name of the person <br />delivered to antl the date of dellverv. For adtlitlonel fees the followlnp servlcec era evalleble. Consult <br />postmaster for fees antl check boxlea)I }Or adtlltlOnal carvlce(cl requested. <br />1. ^ Show to whom delivered, date, end etldressee's address. 2. ^ Reatrlctad Delivery <br />1 /Extra charge)1'' t (Extra charge/ t <br />3. Article Addressed to: 4. Article Number <br />J <br />ackson County Board of Cornmissnrs f S <br />T <br />i <br /> <br />Box 337, 396 Lefever Street ype o <br />erv <br />ce: <br />^ Registered ^ Insured <br />Walden, CO 80480 Certified ^ coo <br /> Express Mail <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. Signature -Addressee 8. Addressee's Address /O%Y,Y if <br />X requested and fee paid) <br />6. Signature - Ag <br />X <br />7. Date of Delivery <br />„~. L ` i0 <br />PS Form 3811, Mar. 1987 + U.S.G.P.O. [987-t1a-lbe DOMESTIC RETURN RECEIPT <br />