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Z 255 653 301 <br /> us Postal Service <br /> Receipt for Certified Mail <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse <br /> se Larimer County <br /> -g, Board of County Commissioners <br /> P.O. Box 1190 <br /> Pc Fort Collins,CO 80522 <br /> Postage $ .S S <br /> Certified Fee ,L40 <br /> Special Delivery Fee <br /> Bestdcted Delivery Fee <br /> N <br /> m datum Receipt Stlowng to I. 5 <br /> _ Wham 6 Date Delivered <br /> zn Return Fleag5lwmptoWmm, <br /> a D.M.LAddresfeiMdr- <br /> m TOTAL Postage A Fees s t o <br /> M Fark or Date <br /> 0 <br /> LL <br /> a <br /> m SENDER: I also wish to receive the <br /> V •Complete items l and/or 2 for additional services In OW <br /> H a Complete items 3,4e,and 4b. following SBNICea(for an <br /> n• e Print your name and address on the reverse of this tone so that we can return this extra fee): <br /> card to you. <br /> N •Attach Iris form to the front of the maepiece,or on the back if space does not 1.❑ Addressee's Address <br /> •W to t-Return Receipt Requested'on the mailpiece below the article number 2.❑ Restricted Delivery <br /> •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. a <br /> ii 3.Article Addressed lo: 4a.Article Number <br /> Till <br /> z 25 (o53 30) <br /> n Larimer County RECEIVED 4b.Service Type <br /> o Board of County Commissioners ❑ Registered ,,,Cenilied <br /> P.O. Box 1190 J U N 0 8 1999 ❑ Express Mail ❑ Insured <br /> Fort Collins,CO 80522 ❑ Retum Receipt for Merchandise ❑ COD <br /> 7.Datd of Delivery 17 J UN 1999 <br /> 5.Received By:(Print Name) B.Addressee's Address(Only if requested Y <br /> and fee is paid) m <br /> L <br /> 6.Slgnatue: Add or AgI) <br /> a X J � (o-4-Ci 98 Z3 <br /> '—^ PS Fonn 3811,December 1994 102595 98 B4)229 Domestic Return Receipt <br />