2006-03-15_REVISION - M1991074

• Permit No: M1991074
• IBM Index Class Name: Revision
• Doc Date: 3/15/2006
• Doc Name: 112 Application
• From: Kiowa County
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

U.S. Postal Service
rCRTIFIFn MAIL RECEIPT
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ti Name(vleasePtlr KiowaCo.Commissioners
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p- Street, Apf. No.; o PO BOX 1 OO
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N City, Slate, Z/Pt 0 EadS, CO 81036
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Pesta9a $ ~ ~ ~P~ D C O &\
Certified Fae ~~ ~"~
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Return Receipt Fee j v J FEE ?~~,ps
(Entlorsemenl Required)
ResMcted Delivery Fee ~
(Endorsement Required)
Total Postage 8 Faes ~ US P 5

d SENDER:
v •cr,mplete items 1 and/or 2 for additional eerNcee. f a150 WISh t0 receive the
a •Complete Item9 3, 4a, erM 4b. fnilOWing SefVIC9S (fOr an
~ •Pdm your name aM address on Ne reverse of Ihie form so that we can return this BMra fee):

~ card to you.
•AhaM this form to the hoot of the mailpiece, or on the bade if
apace does not
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• Write'Refum Receipt Requested' on the ma~'Iplece Delow Ne snide number
2, ^ Restricttad DBIiVery ~
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c •The Return Receipt will show to whom the eRide was delivered antl the date
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3. Article Addressed to:
4a. Article Number

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Kiowa County Commissioners
7099 3220 0007 4095 4027 ¢ ,
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E PO Box 100 4b. Service Type
'o' Eads, CO 81036 ^ Registered ~ Certified W.
^ f=xpress Mail ^ Insured ~ i

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^ RetumReceiptforMerchartdse ^ COD a
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~ 7. Date of Delivery
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5. ecelved By: (Pdn~ Name)
~~ ~ S. Addressee's Address (Only it requested
and lee !s paid) ~
g 6. Signs re (Addressee or
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Ps Fo 3811. Decembe
102595-97-8-0179 Domestic Return Receipt