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C-~ ~ g l-C~O~ 5~ ~ rn~3 <br />•. <br />O <br />Rl ~ ~ ~ ~ <br />~ ~~ • _ <br />ra aRMs.~~13 siierina~,f7~~rl Is I~envz~,~(~02~ <br />n.t <br />o Postage: $ .39 --J <br />o Certified Fee: $2.40 1r ., <br />o° Return Receipt Fee: $1.85 mark <br />a ,re <br />m ~ Tote] Postage & Fees: $4.64 ~ ~ ~~` <br />'total Postage 8 Fees ~ $ I <br />~ ~__f _ <br />v an San Miguel County <br />`~ ~ P.O. box 1170 <br />°r` Telluride, Colorado 81435 <br />art <br /> <br />a a ~ . . .~ . <br />^ Complete items 1, 2, and 3. Also complete a Signature <br />Item 4 if Restricted Delivery is desired. X Agent <br />^ Print your name and address on the reverse l~u,,_ Addressee <br />so that we can return the card to you. B. Received by (Pnn[ed Name) C. Dale of Delivery <br />^ Attach this card to the back of the mailpiece, <br />L- <br />C <br />or on the front if space permits , <br />, n <br />. di <br />d <br />e <br />~a ^ Y <br /> es <br />D. Is delivery ad <br />esss <br />ifferent fr <br />i R <br />m 11 <br />1. Article Addressed to: If YES, enteCaelivery:ailr~ress below: ^ No <br />- - <br />' fa" <br />Y \LU~~ <br />San Miguel County U5~'`/ <br />P. O. box 1170 <br /> 3. Service Type <br />Telluride, Colorado 81435 ^ Certifled Mail ^ Express Mail <br /> ^ Registered ^ Retum Receipt for Memhandise <br /> ^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivety7 (Extra Feel <br />^ Yes <br />2. Article Number 7005 3110 0000 2197 802 <br />(trans/er from service /abeq <br />PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 i <br />