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• SENDER: Complete items 1 and 2 when additional services ere desired, and complete items <br />3 and 4. <br />Put your address in the "RETURN TO" Space on the reverse slde. Failure to do this will prevent this <br />card from being returned to you. The return recei t fes will rovide ou the name of the arson delivered <br />to end the data of dative .Fora Itlone ass t e o owing servlcee ere oval a e, onsu t postmaster <br />or lea en c ec t ox es for edditlonal aervitelsl requested. <br />1. LT Show to whom delivered, date, end eddreasee's address. 2. ^ Restricted Delivery <br />(Eam cMrge) (Exrm charge) <br />3. Article Addressed to: 4. Article Number <br />i <br />k <br />d <br />f C <br />i P 427-345-142 <br />oTam <br />one <br />son County Boar <br />o <br />ss <br />Jac pe of Servlee: <br /> ~ <br />Box 337, 396 Lefever st. Registered ^ Insured <br /> %$c.rtliied ^ coo <br />Walden CO 80480 <br />~ ~ <br />^ Expreaa Mell ^ Return Receippt <br />for Merchendlae <br /> Alweye obteln elgnature of eddrepee <br /> . or agent end DATE DELIVERED. <br />5. Signature -Address ~[ S. Addressee's Address (ONLY if <br />X ~{ ~ <br />~ ! ngaesred ad fee paid) <br />6. Signature -Agent <br />X <br />7. Da of Delivfry <br />d l <br />PS Form 3811, Mu. 1988 • U. S.O.P.O. 1985-272-885 DOMESTIC RETURN RECEIPT .~ <br />CWB C-81-026 <br />P 427 345 Z42 <br />RECEIPT FOR CERTIFIED MAIL :~ <br />NO INSURANCE COVERAGE PROVIpEO <br />e <br />NOT FOR INiERNAOGNAL MAII <br />(See Reverse) ;-~ <br /> sem to ac son oun y s <br /> Board of Commissioners <br />e Street and o ~ J <br /> Box 3~7, 396 Lefever St. ~ <br />a P O., State antl ZIP Code -,j <br />ti <br />N 1 <br />' <br />u Posla9e .r~~ <br />` <br /> iJ <br />Y <br /> Cen~hed Fee ~ ~ mi <br /> - <br />l <br /> Special Del ~FLL~ ~ <br />(~ 5~ <br />d~ <br /> IV <br /> <br />Reslricle0 D Fee ~ ~ <br />rn <br /> Return Receipt s ng ,~ C7 <br /> to whom and Date D (D <br />N •' <br />001 Return gece~pl ahpWi ~ lo. whp I <br />~ G <br /> Dale. and Address of Irve~y I (D <br />d I 't <br /> TOTAL Postage antl F s 1~ ~, / x <br /> I 1 <br />CJ O <br />°o Po5lmarM or Dale - 1 1 , <br />~ CD <br />tai ; ~ <br />.~ - C1 <br />E .. .. -. <br />0 <br />u. ~ ; <br />N <br />a <br />