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! <br /> P 155 380 261 m ENDER: - ; <br /> ■Cortrplete Itertis 1 andtor2 for additional services. !also wish to receive the <br /> o a Rams 8,4a,and 4b. fololil nQ services(for an <br /> US Postal Service a P *your name and address on the reverse of this form so that we can retumth SAM fee): <br /> Receipt for Certified Mail > .Aram this form to the front of the mallpie°e,or on the back it space does not 1. ❑ Addressee's Address <br /> No Insurance Coverage Provided. d permit. <br /> Do not use for International Mail See reverse m a Write'Retum Reeelpt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> •The Retum Receipt will show to whom the article was delivered and the date <br /> sett ° delivered. Consult postmaster for fee. <br /> u 1J CT l I4 l i p-1 o p° <br /> Street d N�mber v 3.Article Addressed to: 4a.Article Number <br /> SAN JUAN COUNTY HISTORICAL P 155 380 261 C, <br /> Po Office,State,d ZIP Code a <br /> L 7 >/„ CG �'l43 o BEVERLY RICH, PRESIDENT <br /> 4b.ServiceType <br /> Postage $ �� PO BOX 154 ❑ Registered Certified o <br /> w S ILVERTON CO 81433 ❑ Express Mail ❑ Insured <br /> Certified Fee 3�� o ❑ Retum Receipt for Merchandise ❑ COD <br /> 0 7.Date of Delivery <br /> Special Delivery Fee Q <br /> z C7 <br /> cr <br /> Restricted Delivery Fee :o 5. R :{PrV Name) 8.Addressee's Address(Only if requested <br /> w <br /> rn and lee is paid) <br /> rn Retum Receipt Showing to <br /> Whom&Date Delivered C/ 6.SP u e: Addres Or Agent) <br /> n Retum Show to Whom, 0 <br /> Q D e ee'sA s INX <br /> o PostagaFees, $ ✓ ; sc <br /> l PS Form 3811, December 1994 Domestic Return Receipt <br /> o <br /> ll '. <br /> Q. ` 4.l• <br />