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¦ Complete items 1, 2, and 3. Also complete A <br />ipature <br />item 4 if Restricted Delivery is desired. <br />¦ Print <br />our nam <br />d <br />dd <br />th n <br />l <br />X ta'i ? Agent <br />y <br />e an <br />a <br />ress on <br />e reverse ? Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, B. Received by ( A'n Name) <br />? C. Date of Delivery <br /> <br />or on the front if space permits. ? <br />// <br />i <br />3 1 (! <br /> <br />1. Article Addressed to: D. Is delivery address different from item 1? ? Yes <br /> If YES, enter delivery address below: ? No <br />City of Keenesburg <br />P.O. Box 312 <br />Keenesburg, CO 80643 <br /> 3. Service Type <br /> Certified Mail ? Express Mail <br /> Registered ? Return Receipt for Merchandise <br /> <br />` ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />7007 <br />0220 0001 6527 4777 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 <br />age and Savage Environmental <br />HaystackDrive <br />dsor, Colorado 80550 <br /> <br />! &ITMsJerES AMD <br />nnsrnts_ e_a_w_cE <br />7007 0220 0001 6527 4760 <br />00001 $5 <br />80701 000957 <br /> <br />RW <br />,17q <br />GW Appropriations of S. Platte <br />219 E. Railroad "^„? -_- <br />Fort Morgan, C <br />OOS S002S97 <br />a <br />16 <br /> <br />TI :L L € 02 BE 1 40 0=3/ a./OS <br />RETURN TO SENDER <br />UN Ct_A VIED <br />UNAMILE TO FORWARD <br />IDC; 00S-3,025-9710 <br />l?l}?l??1l1111?l1?tt}??11}!!rl?t?l?l?}?}1!!}1!!f!?lr?f 1l?il?l?