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Certified Mail Receipt <br />SUBJECT: 11, 'S 1? ytUt: <'? L <br />PROJECT: LV ?' <br />DATE SENT: .S i,?y" -D-Q / 0 <br />REMARKS: <br />-ry <br />cU?E ?L S C'o ttA) <br />C0 ' <br />nj <br />m Certified Fee <br />° Return SKIMpt Foe t3 (Endomornont Raqulred) <br />r0 Postage MSbCOUNTY <br />° Restricted Delivery Foe <br />r-l (Endorsement Required) <br />C3 Total Postage & Fees .lt PRC3 nr o REGINA JO DORENKAMP <br />° COUNTY ADMINISTRATOR <br />('^ ?lrnnf, Apt. Na.; <br />or PO Box No. 2ND FLOOR OF COURTHOUSE <br />301 S. MAIN STREET <br />'. LAMAR, CO 81052 <br />'T <br /> <br /> <br />r'!;` :. <br /> <br />I_ ;, {i?!?Cr r_1r <br />TOTAL $6r 49 <br />ALL <br />?? - GUi1?F-'%11=r.1 7ftUIC:c; Ohlt <br />¦ Complete items 1, 2, and 3. Also complete . <br />Item 4 if Restricted Delivery is desired. <br />¦ Print your name and address on the reverse <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />PROWERS COUNTY <br />REGINA JO DORENKAMP <br />COUNTY ADMINISTRATOR <br />2ND FLOOR OF COURTHOUSE <br />A. Signature <br />X ? Agent <br />? Agent 0 <br />(in - B. Rene ved by ntad Namq) C. Data of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />301 S. MAIN STREET 3. Service Type <br />LAMAR, CO 81052 ? Certified Mau 0 Express mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mau ? C.O.D. <br />4. Restriloted Delivery? (Extra Fee) ? Yes <br />z. 11tano Number <br />ffam 7006 0810 6003 6235 7585 <br />(1}arlsferfiom service labrt? <br />i PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M•1540