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~. <br />• SENDER: <br />'p Complete items 1 endlar ~ for additional services. <br />m • Complete items 3, and 4a 6 b. <br />~ • Print your name end address on the reverse of this form so that we can <br />m return this card to you. " <br />~ • Attach this loan to the Iront of the mailpiece, or on the back if space <br />does not permit. <br />m • write"Return ReceiptRepuested"on the mailpiece below the article numbe <br />• The Return Receipt will show to whom the article was deliveretl and the dot <br />G delivered. <br />v 3. Article Addressed to: 4a, Ai <br />1 <br />FREMONT COUNTY BOARD OF COMM ab. st <br />I also wish to receive the <br />following services (for an extra <br />feel: <br />1. ^ Addi essee's Address y <br />2. ^ Restricted Delivery 'm <br />Consult postrPaster for fee. o <br />.lyye;~ INIu^m-~b7er/~ ''~~y- <br />Ci(l.Ir !`9 / 04X' ~ <br />ice Type o <br />^ Register ~+ ^ Insured ~ <br />615 MACON AVE ROOM B-5 ~ w <br />Certified ^,..,dCOD e <br />CANON CITY CO 8121,2; ^ Express ~ll KI Return Receipt for ~ <br />Merchandise <br />7. Date Delivery w <br />-~ ~ 2'L~' ~ ~ o <br />Z 5. Si~nattkg IApdresse I B. Addressee's Address (Only if requested Y <br />F ~ !~~ f~ ~ ~ I „ I ~ n ~ _ and fee is paid) ~ <br />f <br />6. Signature IAgenq Y/ L <br />E <br />> PS Form 11, December t99t au.s.cRO:t DQMESTIC RETURN RECEIPT <br />P 296 797 225 <br />Ref orp~-~ <br />Certi fed "'_ _ <br />(~ r <br />~ 'Q~ No In~iJ~el~ C <br />O ~~ o-' Do not use for International Mail <br />~ ws< ~ ISee Reverse) <br />FREMONT COUNTY BOARD OF COMM <br />615 MACON AVE ROOM B-5 <br />CANON CITY CO 81212 <br />,ri <br />V <br />t- <br />C <br />.S <br />c <br />•."~ <br />~t(D <br />'-^"C <br />,v~~p <br />`.~ <br />~~ <br />~E <br />~LL <br />Qa <br /> <br />Cen~heo Fee ((~t <br />Soenai Dexveiy Fee J <br />aesv¢led DeLVery Fee <br />netu:n aeceio~3fierlRlR _ <br />~o Wnom B Da Delneie~` <br />Reimn Peceio awiny o auq <br />Date, a~tl ~ es5ee s A4{les, ° <br />t <br />iDiAL P <br />8 Fees ~ <br />~~ ~ _ <br />S <br />Posmark~ to ~ <br />Q~ <br />y <br />