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~ ~ Complete items 1, 2, and 3. Also complete <br />~ item 4 if Restricted Delivery is desired. <br />i ~ Print your name and address on the reverse <br />i so that we can return the card to you. <br />~ Attach this card to the back of the mailpiece, <br />I or on the front if space permits. <br />~ 1. Article Addessetl to: ° <br />West Adams Conservation District <br />224 S. 14th. Ave. <br />Brighton, CO 80601 <br />^ Agen[ <br />X S1g~ ~/~- <br />^ Addressee <br />B ecei1ved by (P kited Name) G. Date of Deliv ry <br />S {~ <br />D. Is delivery address differem fmm Rem 1? Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Deliveryl (Ext2 Fee) ^ Yes <br />2. Article Number <br />(transfer from service faben 70116 010 11006 9237 0056 <br />PS Form 3811, February 2004 Domestic Return Receipt tozsssaz-m-t sao <br />^ Complete items 7, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Board of Adams County Commissioners <br />Adams County <br />Administration Building <br />450 South 4th Avenue <br />Brighton, Colorado 80601 <br />A <br />C. <br />^ Agent <br />D. Is delivery atldress different from~ri em 11 0 Yes <br />If YES, enter delivery atldress below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />~ 4. Restricted Deliver}? (Extra Fee) ^ Yes <br />2. Article Number <br />(trans/er from service label) 7 0 0 6 01 o o O 110 6 9 2 3 7 L1116 3 <br />' PS Form 3811, February 2004 Domestic Return Receipt tozsss-oz-M-t54o <br /> <br />