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" SENDER: <br />I also wish to receive the <br />4 Complete items 1 end/or 2 for additional services. <br />° • Complete items 3, end 4e d b. fOIIOWIng services If Or en extra ° <br />e • Print your name and address on the reverse of this form sa that wa can feel' •~ <br />i return this card [o you. ~ ° <br />i • Attach this lorm to the front of the meilpiace, or on the beck if space 1 . ^ AddreSSO9's Addre95 y <br />~ does not permit. <br />• Write"Return Reteiptflecuested'on the meilpiece below the article number. 2. ^ RestrlCtad Delivefy •o <br />• The fleturn Receipt will show to whom the article was deliveretl end [he date ° <br />C delivered. COnsUlt ostmaster for tee. o <br />v 3. Article Addressed to: 4a. Article Number ~ ~ <br />3 MR JOE JAY 4b. Service Type <br />E YUMA COUNTY ~ <br />° ^ Registered ^ Insured <br />H ROAD DEPARTMENT Certified ^ COD 5 <br />W 1310 $ BLAKE ^ Express Mail ^ Return Receipt for ~ <br />n WRAY CO 80758 Merchandise e <br />7. Date of Delivery ~- <br />~ - ~ - ~~ o <br />8. Addressee's Address (Only if requested y <br />and fee is paid) ~ <br />m <br />r <br />f <br />PS Form <br />1981 tr U.S.G.P.O.:1992-307-530 <br />.# <br /> <br />0 <br />u <br />ri <br />C <br />r"• <br />a <br />lU 0~ R 3~ 2 <br />~ ~ 179 166 41 <br />C~~f~d Mail ~,(~ <br />No Insuranc v ed <br />,gr.:<~r Do not use for International Mail <br />ISee Reverse) <br />MR JOE JAY <br />YUMA COUNTY <br />ROAD DEPARTME NT <br />1310 S BLAKE <br />WRAY CO 80758 <br />~ .z9 <br />Cenn~e0 Fee <br /> Z .~~ <br />5peaai oei~~ e~ <br /> <br />Peslna ~y Fee <br /> <br />Pewrn Pg ~oi5wo G~ l <br />` <br />io Wn a <br />1M ergjlj ~ <br />Rerom how~ng io nom <br />Dale. an s press <br />TOinL Pos~age <br />B Fees <br />S Z. <br />Z 9 <br />Posma~k or Date <br />