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~,~ , <br />A <br />B. Received Uy (Pd~r~ame) 9 ~C. <br />Agent <br />D. Is dalNery addrasa d m Its ee <br />Ii YE3, enter delWery r~ ILetgw:~ No <br />~ii-•'~~OYLtI-~ ~~aJ~~ggv~ 3.SQrvlcelYPs <br />Certlged Mall ^ F~ress Mail <br />Registered ^ ReNm Receipt for Merchandise <br />^ Insured Mail DI C.O.D. <br />- - . -- 4. Restricted DellverlR (ExVa Fee) ^ Yes <br />2. ArtiGeNumba 7004 289 0003 8654 0392 <br />(fmnsler /rom. <br />PS Form 3811, August 2001 Domestic Return Receipt tozsss-0z-M-tsno <br />^ Complete items•1, 2, and 3. Also complete <br />Item 4 If Restricted DelNery is, desired.-• . <br />^ Print your }iariie erlii address on the reverse <br />so that we can [alum the card to you. <br />^ Attach~thls card to the back of the mailplece, <br />or on the front if space penntts. <br />1. Article Addressed to: ' <br />l~^ _~~~ c <br />~,I.S. flr"~,5 a Pr~w~q~_n,~ <br />UNITED STATES POSTAL SERVICE ~ First-Ck <br />tZ ~ ~ R 'Rdstage <br />~, n <br />z PM ~ ~- PerProt~ <br />L•1 ~ <br />• Sender. Please print y,ur nat>~9~Y a~ress, an ~i q <br />=0U` , <br />t.ti... . <br />__~ <br />Cheyenne County Administrator ~- <br />P.O. Box 567 I ~ _ <br />Cheyenne Wells, CO 80810 ~ ,r, <br />- --v <br />y~ ~' <br />~~ ~ <br />`-~ a <br />~.. <br />N.+1,lf.,rl.~~~„lfll„rli.~..~.l.r't#~r1~„l~l~,~i~~ltrl~l~ I <br />Mail' <br />~~•~ <br />