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r <br />:2 <br />w <br />O <br />v <br />d <br />a <br />E <br />0 <br />co <br />W <br />cc 0 <br />f] <br />a <br />z <br />cc <br />W <br />Q <br />SENDER: <br />■ Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />• The Retum Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />Routt County <br />P.O. Box 773749 <br />Steamboat Springs, CO 80477 <br />5 R, eceived By: ( Prin�Name) <br />6. Signature; (Rt ressge o <br />X vU�� l /1- A <br />PS Form 3811, December 1994 <br />Ka <br />L-4ctqLt -og <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7008 3230 0002 7252 5516 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise ❑ COD <br />SL- SLB <br />❑ Certified <br />❑ Insured <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />0 • <br />kv <br />rA <br />' <br />d - <br />V <br />