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~. <br />s SENDER: <br />yt • Complete items 1 andlor 2 (or edd~bonal services. <br />I also wish to receive the <br />m • Complete items 3, antl 4a d b. _ fOIIOWIng SerVIGeS If Or an extra <br />~ • Print your name antl address on nLq averse of this lgrm so th at we can feel: <br />m return this card to you. %M( <br />O • A[lach this loan to the front of 11i~na~lpiece, or on [he back <br />it space <br />1. ^ Addressee's Address <br />does not permit. <br />m • Write "Return Receipt RequesteC" the mailpiece below the art <br />i ~' <br />icle number. <br /> <br />2. ^ Restricted Delivery <br />• The Return Receipt will show to Whom the article was delivered and [he date <br />e delwerea. <br />Consult postmaster for Tee. <br />v 3. Article Addressed to: ~ <br />.. <br />~ <br />~i~o~' <br />i <br />a ~~ 4a. Article Number <br /> <br />Z:~ 9 <br />_ <br />/ <br />E r/1 i <br />35i D/7t'' J <br />~ 4b. Service TYPE <br />, <br />p ^ Registered ^ Insured <br />v <br />y ~(' ,~.%~X /~(~ <br />Certified ^ COD <br />uyi <br />C <br />~ <br />~~" M/ e~/~ n /'~ <br />°Tf'/ L: <br />~ ^ Ezpress'Mail ^ Return Receipt for <br />Merchandise <br /> <br />a ~ <br />/ <br />- <br />~io73 7. Date of Delivery <br />~~'-a7- <br /> 5. Signature (Addressee) 9. Addressee's Address (Only if requested <br /> and tee is paid) <br />r <br />~ fi- ur Age 1 <br />0 <br />~ P Form 17, camber 1991 au.s. cPO: tlw:~asz-Tt~ [ <br />P 296 7ww97 3 G--~ <br />J~v <br />Rece~f'f~~t fo <br />N CeritfYe~ <br />O No Insurance Coverage Provided <br />aD ®° Do not use for International Mail <br />O ISee Aeversel <br />U <br />a~ <br />C <br />v <br /> <br />N <br />Q <br />m <br />Q~ T <br />C <br />C~7 ~ <br />r~ O <br />v ~ <br />c M <br />C o <br />N <br />a <br />Sam <br />~ <br /> <br />Sl~ya~~o No /~~ <br />P <br />n Siaie an0 ZiP 6 ~/ /~ <br />c.iage <br />RF 1 <br />a <br />Ce~unetl Fae . <br />Speoal Delweq' ee -~~ <br /> <br />esy~aea Oeiwery Fee L „ ,~ <br />lvlsion Dt MI <br />R¢imn Receipt Showing ' ' <br />io venom B Daie Deevm eo <br />Reimn Recemr Snowing ro m <br />nale. antl Adai255e¢~s Adtl~e55 <br />reiAL Postage n <br />6 Fees 9 <br />Posimait of Dale <br /> <br />V <br />.; <br />u <br />y <br />6 <br />.~ <br />s <br />.G <br />7 <br />0 <br />e <br />m <br />r <br />N <br />RECEIPT <br />P 296 '~G97 .. <br />Fe, <br />ReG~gQtpf ~~~"~ <br />c~ Certified al <br />~ No Insurance Coverage Provided <br />O ® Do not use for International Mail <br />~ ~~•iYF4r ISee Reversal <br />Q <br />U BACA COUNTY BOARD OF COMM <br />`m I' O BOX 116 <br />SPRINGFIELD CO B10" <br /> <br />N <br />E <br />Q <br />c <br />~A <br />Ny <br />L c <br />~O <br />M~ <br />T~ <br />M <br />~E <br />~LL <br />Q N <br />a <br /> r <br />Cemoetl Fee - <br />Spenai Deirver <br />Resmnetl Delwe,y Fee ! <br />Rai <br />m venom 8 ie <br />Rewrn Rece <br />Date, antl A i S wing <br />mes ez s ~ nom <br />.`F <br />iOiAL POZIa Q• <br />8 Fees ~ ;~ .~ <br />Poslmad o~ Da C' - ~2.v6, , <br />a/ t'1 <br />