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J <br />fl REC EIPT <br />(Domestic Only; No Insurance Co verage ? r r <br /> <br />ro: <br />M <br />C3 POatBge S <br />Ln <br />CerdWd Fee <br />M <br />(E nd meat rtequired} pas"SA <br />Hens <br />C3 <br />Reetriclnd 00 my Fee <br />{Endoroement Retpdred) <br />Total Poetape ai Fe" <br />ri <br />Sent <br />o Cree,._ <br /> <br />_.. <br />sz . .... _....... <br />M <br />R <br />?? sue: ZIPr4 <br />M Complete Items 1, 2, and 3, Also comptet <br />Rem 4 If Restricted Delivery Is desired. <br />M Print your name and address on the revs me <br />so That we can return the card to you. <br />• Attach this card to the back of the maillpleM. <br />or on the front It space permits. <br />X <br />- u rtardrre$ <br />by (PY0t ) . C. We of tletlywy <br />t, Artli*Addressedtos <br />Is dethrery address dNf mtt trort f Rem I? U YSS <br />if YES,, enter own ieddress t tow LIFlo <br />Town of Oak Creek 11 <br />P.O. Box 128 <br />Oak Creek, CO 80467 `A q*n n 'd a Evives Ma <br />a ftwomd Q Return Rwel" for Memurd" <br />[3 msred mwi M c-04. <br />a, R96ttl W T7eflvefy? fig he) o NU <br />2° Att? oNwber 7007 1490 0003 5002 8394 <br />?lrartstitir he:>/rt aeMce <br />Ps Farm, a8l 1. February 2W4 owmtirn Retum ttecabt to2gss42•r,>f ssa