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;; SENDER: <br />a • Complete items 1 and/or 21or atldilional services. <br />m • Complete items 3. 4a. antl 4D. <br />a • Print your name and address on the reverse o! this loan so that we can velum Ihis <br />caro to you. <br />~ • Apach this loan to the Iron) of the mailpiece, or on the back it spats does not <br />d pennn <br />~ • Write 'Return Recerpl Requesled'on Ine maJpiece below the artcle number. <br />t • The Return Receipt will show to wham Ine article was tlelrveretl and the tlale <br />tlelrveretl. <br />`0 3. Article Addressed to' 4a. Article <br />a 2 <br />a <br />v <br />I also wish to receive the <br />following services (tor an <br />extra fee). <br /> <br />1. ~ Addressee's Address ai <br />~ <br /> <br />2. ^ Restncted Delivery Z <br />i <br /> n <br />Consult postmaster for fee. c <br />n 4b. Service Type <br />E Mr. Robert A. Lucero, Couny Planner _ <br />~ Las Animas County ^ Registered ~ '~ Certified <br />200 E. First St., Rm. 104 ^ Express Mail ^ Insured <br />Trinidad, CO 81082 ^ Return Receipt fd Merchantllse ^ COD <br />l~ -ad <br />and /ee is paid) <br />1x1 6. Signatu-~-}(A~c <br />a X ~/C^ <br />!' PS Form 3811, <br />1994 re259598-B~p229 <br />TI <br />(D <br />Z 379 538 694 <br />~ US Postal Service ~ <br />o Receipt for Certified Mail <br />~ No Insurance Coverage Provided. <br />Do not rise for Intematlonal Mail See <br />~ Mr. Robes A. Lucero, County Planner <br />~ Las Animas County <br />' 200 E. First St., Rm. 104 <br />Trinidad,C081082 <br />O <br />s 33 <br />N CerufieA Fea L!'v <br />E <br />~ Special DelNary Fee <br />RestrideG Defnery <br />Retum Recept 5h <br />~~ TOTAL Postago 6 <br />/rte PWMad or Date <br />V <br />CLL <br />Qa <br /> <br />c <br />rn <br />0 <br />0 <br />a <br />Y <br />C <br />A <br />L <br />f <br />