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d SENDER: <br />C •Complete items 1 and/or 2 for additional services. <br />rn <br />•Complete items 3, 4a, and 4b. <br />aai • Print your name and address on the reverse of this form so that we can retum this <br />card to you. <br />at • ■ Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />O ■ 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 />0 <br />0 3. Article Addressed to: <br />a <br />f <br />Mesa County Commissioners <br />County Commissioner <br />F.O. Box 20,000 <br />a Grand Junction, CO 81501 <br />cc <br />cc <br />V <br />• X <br />0 <br />5. Re By\: ,( mint V <br />6. SignIt <br />PS Form 3811, December 1994 <br />7008 1140 0004 5015 3146 <br />E . <br />4b. Service Type d . <br />❑ Registered E Certified or . <br />❑ Express Mail ❑ Insured 'n <br />❑ Retum Receipt for Merchandise ❑ COD <br />7. D e of Delivery <br />8. Addressee's Address (Only if requested c <br />and fee is paid) <br />1 - 21, C 2 "'CO <br />0A-C CiSi <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 />Domestic Return Receipt <br />d <br />to <br />E ' <br />t0 <br />H ' <br />