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U.S. Postal Service <br /> CERTIFIED MAIL RECEIPT <br /> (Domestic Mail Only: No Insurance Coverage Provided) <br /> Er <br /> to <br /> `o Huerfano Count Commissioners <br /> _n <br /> ul Postage f <br /> O- <br /> CerUletl Feenl <br /> G <br /> Holum Receipt e <br /> TO a <br /> O (Endorsement Required) y <br /> C3 Restricted Delivery Fee <br /> 0 (Endorsement Required) :D 1 I( (n <br /> D �a <br /> ru Tolal Postage 8 Fan 2/ _ 0 <br /> rU Nome(Please Print clearly)(To be completed by mall <br /> m x H mvl Sf S uerfano__Count - Co----i&SxpBQ.XS--- ....... <br /> Q- Sbeef,Apt..No.;or PO Box No. <br /> C3 -Hueifamn..Lou=y.--LourShause..............-..... <br /> M1 city,slate,ZIP+4 <br /> Wa <br /> PS Form :r. <br /> ,July 1999 See Reverse for Instructions <br /> d SENDER: <br /> v I also wish to receive the lollow- <br /> m D Complete items t and/or 2 for adddional services. ing services(for an extra fee): <br /> N Complete items 3,4a,and 4b. <br /> i ❑Plant your name and address on the reverse of this form so that we can return this ai <br /> card to you. 1. ❑ Addressee's Address u <br /> 0 ❑Allach this torte to the front of the mailpiece,or an the back it space does noti. <br /> u —permit 2. ❑ Restricted Delivery m <br /> ❑Wme'Rehm Receipt Requested-on the ma.lpiece below the ankle number. <br /> C ❑The Return Receipt will show to whom the article was delivered and the date 6 <br /> o delivered 'y <br /> c 3.Article Addressed to 4a.Article Number <br /> m <br /> n Huerfano County Commissioners 7099 3220 nOO4 2695 1689E <br /> E 4b.Service Type <br /> o Huerfano County Courthouse d <br /> O ❑ Registered ,J9Certifietl <br /> On Walsenburp, CO 81059 E <br /> w ❑ Express Mail El Insured .N <br /> ¢O Return Receipt for Merchandise ❑COD <br /> a livery <br /> 7. t of De <br /> fit' (� r <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only if requested and c <br /> lee is paid) t <br /> 0 6. nature(Addis or Age / <br /> a. <br /> _N <br /> PS Form 3811,December 1994 102595 99-B-0223 Domestic Return Receipt <br />