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P 524 968 460 <br /> US Postal service <br /> Receipt for Certified Mail <br /> No insurance Coverage Provided. <br /> Do not use for Intemahonat Mail See reverse <br /> Sentte ue o oun y <br /> Smee"II§T�F10 Co. Courthous <br /> Post MA <br /> &ZIP Code <br /> Pueblo. <br /> Postage $ <br /> Certified Fee 3� <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> N <br /> � Return Receipt Showing to <br /> Whom&Date Delivered <br /> n Relum Receipt Show lovmom, <br /> Dale,A Addressee' <br /> TOTAL P <br /> co —1k <br /> Posen or <br /> OIL <br /> G � <br /> ti �U <br /> '�(�� 00 <br /> d SENDER: 1 also wish to receive the <br /> v •Complete items 1 andror 2 for additional services. <br /> m .complete items 3,4a,and 4b. following services(for an <br /> to •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> j -Mach this forth to the front of the mailpiece,or on the back it space does not 1. El Addressee's Address <br /> m permit. <br /> y •Wnte'Return Receipt Requested'on the mailpiece below the addle number. 2. Restricted Delivery N <br /> •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. ° <br /> o <br /> d 3.Article Addressed to: 4a.Article Number <br /> cc <br /> m Pueblo County Commissioners P 524 968 460 <br /> E Pueblo, County Courthouse 4b.Service Type <br /> 1 0th & Main Streets ❑ Registered ❑ Certified o, <br /> w Pueblo, Co. 81003 ❑ Express Mail ❑ Insured 5N <br /> cc ❑ Return Receipt for Merchandise ❑ COD <br /> °0 7.Date of Delivery f <br /> a 0 <br /> Z — T <br /> � 5.Received By:(Print Name) 8.Addressee's Address(On if eq sled <br /> and fee is paid) i <br /> t- <br /> 6.Signature: (Addressee or Agent) <br /> T X <br /> PS Form 3811 Dec er 1994 Domestic Return Receipt <br />