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<br /> <br />" SENDER: <br />• Completo items 1 endlar Z for additiMel farvicaa. <br />I e1e0 Wleh t0 reCeiVe the <br />b Complete items 3, end 4e d b. f0110Wing SerV1CeS (for er1 extra el <br />~ Print your name eM eddraea an the ravens of tAia rorm w that we can feel: 'Z <br />return this card to you. <br />~ • Artech [his form to the front o1 the mellpieca, or on the Deck i1 space <br />1. ^ AddfeaBBe'3 Addre95 <br />P Oast not permit. <br />• Write"Retum Receipt Requested"on the mailpiece below th e enicb number, 2 ^ Restricted DBIIVery G <br />• The Return Receipt will chow to whom the ertick was delivered end the date U <br />e delivered. Consult ostmaster for fee. C <br />e 3. Article Addressed to: _ 4a. Arc <br />cte Nurtlber ~ <br />l ~ <br />7pi MR CLARK BRANSTETTER ~ <br />r <br />) ~ <br /> <br />ROAD SUPERVISOR 4b. Service Type <br />^ Registered ^ Insures <br />rn ROAD AND BRIDGE DEPARTMENT ~Certitied ^ COD .G <br /> <br />PO BOX 9 ^ Express Mail ^ Return Receipt for 7 <br /> <br />GRANBY CO 80446 Merchandise <br />5 <br />o 7. Dat of Delivery `r• <br />a _ ~ <br />¢ 5. Signature (Addressee) 8. Addressee's Address (Only it requested Y <br />N and fee is paid) ~ <br />W L <br />~ 6. Signature IAgentl I•' <br />P-iS Form ~ 11; December 1991 4 U.SA.P.0.: 1ee&BD-EM DOMESTIC RETURN RECEIPT <br />- ~ cam. <br />OCe <br />U <br />~C <br />m <br />~--~ <br />N <br />!!t.~~~ <br />DD <br />rrA~Ar <br />_O <br />c~9b <br />P 17 9 S6 6c' 93~~_~ <br />Recet~i~~~r ~~ <br />Certified Mail <br />c7 No Insurance Coverage Provided <br />N ~ru Do not use for International Mall <br />G (See Reverse) <br /> <br />MR CLARK BRANSTETTER <br />ROAD SUPERVISOR <br />ROAD AND BRIDGE DEPARTMENT <br />PO BOX 9 <br />GRANBY CO 80446 <br />~ <br />CeieLetl Fee <br />Spenal DeLVe~y Fee <br />fleslra~e0 Delneiy Fee <br />Return Rece~pr Sncw~ng <br />to Wnom 8 Dare Delwere0 <br />ReWrn Aece~Ol Shpw~nq to Wnom, <br />Dale. ann petl~essee's <br />LOipL Ppsiage Q <br />B Fees <br />Postmark pi D¢(,• ~ <br />~ 4'i ' ~ <br />~ <br />~ <br />~ <br />~~_ __~ <br />