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d SENDER: <br />a •Complete items t and/bM for addRiohal <br />m •Complete items 3, 4a, and 4b. <br />d • Print your name and address on the reverse of this form so that we can return this <br />.. card to you. <br />d •Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />y ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />E. •The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />w <br />v 3. Article Addressed to: <br />° Moffat County Commissioners <br />County Commissioner <br />g 221 W Victory Way <br />° a Craig, CO 81625 <br />5. F e elvedPrint Name <br />cc <br />6. Si atur : (Addre Agent) <br />U <br />PS 3811, ecember 1994 <br />II a�s6 v41Ish 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 5318 <br />4b. Service Type <br />g Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />z g <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />