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M1 <br />• laeMru ~arrt• 1 wraler 2 br a00Nbnel aanepaa. <br />~ • C•.e/laaa taw 9, aM M ~ 1. <br />M • Print Ypw name end eddresa on the reveres of thin !Erm so tht we cen <br />ht <br />s <br />d <br />rsaum t <br />e <br />tu <br />to you. <br />al • Attach this form tp the front at the mallpiece, or on the hack ii specs <br />e daa not permit. <br />« Wdta "Ratum ReceiptRequested"on the meilpieu eetow NeaNde numeer. <br />• The Retum Receipt wiR Showto whom the enipla was delivered entl the date <br />~ deNvered. <br />Article Addressed to: <br />~ 3 <br />- $3, Art_i~ <br />~ <br />_ t <br />J <br />'l <br />_ Y <br />O <br />t <br />i h:IOWA COUNTY BOARD OF COMM p' jSeg;s <br />P O BOX 37 p' <br /> <br />E:ADS CO 81036 Certil <br /> Expr[ <br />0 <br />G ate <br />Q <br /> 5. Signature (Addressee) 8. Addn <br />~ and i <br />F <br />6. Sig atur IAgentl <br /> <br />N ~95~ 1~!-! 1U <br /> <br />P 296 797 232 <br />1 Mso wish to receive the <br />}oNowhtp ssrvkes Nor an exue <br />teel: <br />1. ^ Addressee's Address y° <br /> <br />2. ^ Restricted Delivery v <br />•o <br />Consult pos[master for fee. m <br />1 <br />e <br />Number ~ <br />~nj <br />~ <br />1 <br /> <br />is ype <br />e ^ Insured <br />^ COD ,~ <br />s ail ~?ieturn Receipt for ~ <br />Merchandise <br />of Delivery <br /> 0 <br />ssee's Address (Only ii requested Y <br />~e is paid) ~ <br />H <br />RETININ <br />o ~ Ce il~l~ I „, „_,.., <br />ON ~~~ :<M~ Do not use }or International Mail <br />t>D (See Reverse) <br />KIOWA COUNTY BOARD OF COMM <br />P O •.BOX 37 <br />EADS CO 81036 <br />O "y° $ <br />t~ `e..,..e° ` : 1995 <br />N <br /> <br />F_ LS~peoai Dewerv Fee <br />fV131 <br />Q Pesum~e0 Deiverv a f30 0(~Y <br />C <br />(gym Pewm Peceio~ Snow~n <br />E°' ~o Wrvom L Daie Dei ~l <br /> <br />~ ~ <br />n <br />Pmurn flece~o~ Sno i Wnom \~ <br />L C A°o~ess <br />Daie. and Atl°,ess 1 V <br />~~ rOtAL Ponags ..1 <br />U+~ <br />(v~ & Fee <br />ty~ Poslma~k o~ Dale ,~~ ~_ r <br />:7 ; ,..r <br />C LL <br />N <br />o. <br />