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ru <br />rn <br />US.Postal Service <br />CERTIFIED MAIL ;1 RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit, our website at www.usps.come <br />ti <br />un Postage <br />ru <br />Certified Fee: <br />Return <br />Receipt Fee: <br />ru <br />° Re <br />° (Endo*. Total Posta <br />° Restricreu „...._ -, g e Fees: <br />(Endorsement Required) <br />Total Postage & Fees $ I _ <br />m <br />co se, Delta County Commissioners <br />o - si; County Commissioner <br />r` . o;, 501 Palmer, Suite 227 <br />Delta, CO 81416 <br />r2 <br />SENDER: <br />o •Complete items 1 and/or 2 for additional services. <br />, er •Complete items 3, 4a, and 4b. <br />0 • •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 Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3 p.• .'ia_Addressed t o: <br />7008 <br />Delta County Commissioners <br />County Commissioner <br />501 Palmer, Suite 227 <br />Delta, CO 81416 <br />5. Received By: (Print Name) <br />mi n» Li <br />6. Signature: (Addressee or Agent) <br />X <br />PS Form 3811, <br />ecember 1994 <br />3230 <br />X 2c�5- 2z�oc� <br />S id <br />$0.44 <br />$2.85 <br />$2.30 <br />$5.59 <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 />0002 7252 <br />5240 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />