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SENDER: <br />p • Complete items 1 antllor 2 for additional services. <br />I a150 Wish 10 reeeiVe ih9 <br />O • Complete items 3, end 4a 8 b. folloWing ServiCea (fOf 8n extra C <br />~ • Print your name and address on the reverse of this form so that we can f¢el: •~ <br />O rewrn this card to you. <br />~ • Artach this form to the Irons of the mailpiece. or on the beck of spae:e <br />1 . ^ Addressee's Address <br />fn <br />i does no[ permit, <br />y • Write "Return Receipt Pequested"on the mallpece below the enicle member. <br />2 ~ ReStrlCted D¢IlVery }, <br />~ <br />• The Return Receipt will show to whom tha anecl¢ was delivered and th~r date <br />e delivered. <br />Consult postmaster for tee. 4 <br />p <br />v 3. Article Addressed to: qa. Article Number <br />- <br />~ <br />m - ~ <br />~ 41n <br />7q~ a35 <br /> <br />KIOWA COUNTY BOAR[~l$F COMM 4h. Service Type <br />E P O BOX 37 [ (stared ^ Insured ~ <br />v <br />EADS CO C Certified ^ Coo .n <br />W 8103b ^ Express,Mail Return Receipt for o <br />O Merchandise .a <br />O 7 Date Delivery <br />~ 5. Signature (Addressee) 8. Addressee's Address (Only it requested yr <br />~ antl fee is paid) ~ <br />t' L <br />~ 6. Sig atur IAgentl f' <br />7 <br />P Form 11, Dece bar 1991 cu.s. r~us-aszau pOMESTIC RETURN RECEIPT <br />-P 296 797 235 <br />L <br />to <br />CCV <br />C <br />it <br />tU <br />E °' <br />m <br />~ N <br />C <br />7 <br />~ O <br />O <br />.~- m <br />lh <br />C~ E <br />LL <br />g ° <br />a <br />iie• for <br />~ Certrfied f )-~ <br />N ® No IFy(~#e F ioryid <br />~t~ ,o :. $S~r Do not use for n[ernauona ad <br />fSee Reverse! <br />,KIOWA COUNTY BOARD OF COMM <br />P O BOX 37 <br />EADS CO 81036 <br />--- ; $ <br />ce~ei~ea 5$a <br />f <br />r - <br />enal Deoverv ee <br />Resinned De Fee ~ % Lf <br />Relmn Receiel $nowmg, ` <br /> <br />fleturn pece~pi $how~ap o VJhEen:~ "YT <br /> <br />DaIE, and Aadre55$de~Af`e1F.5f 1 <br />iniAt Po;ra9e <br />~ <br />8 Fees <br />. e <br />Poslmalk or Date ~~ j <br />"/ <br />