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SENDER: <br /> I <br /> • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> • Complete items 3, and 4a & b. following services (for an extra <br /> • Print your name and address on the reverse of this form so fee): <br /> that we can return this card to you. R <br /> • Attach this form to the front of the mailpiece, or on the 1. ❑ Addressee's Address i <br /> back if space does not permit. <br /> • Write "Return Receipt Requested" on the mailpiece next to 2. ❑ Restricted Delivery <br /> the article number. Consult postmaster for fee. <br /> 3. Article Addressed to: 4a. Article Number <br /> San Juan County Commission Service Type <br /> County Courthouse ❑ Registered ❑ Insured <br /> P.O. Box 455 CR Certified ❑ COD <br /> S i lverton, CO 81433 ❑ Express Mail J] Return Receipt for <br /> Merchandise <br /> 7. Datjj of Delivery <br /> AZJ <br /> 5. Signature (Addressee) 8. Addressee's Address(Only if requested <br /> ' and fee is paid) <br /> 6. Signature (ACY0 <br /> PS Form 3811, October 1990 *u.&GM.lseo—z7saet DOMESTIC RETURN RECEIPT <br /> 0 <br /> 0 0 O 0 <br /> J N (rl 0) O O d1 <br /> m a In <br /> N <br /> ru C <br /> o� oo � <br /> W o O <br /> U. <br /> a� U O <br /> co ¢�2 m >y u7 UU o el A <br /> T W>z m 4.) <br /> in Va <br /> U C6� � U .;1. 8- d Cd c <br /> r,uccz d d LL 3 3 0 <br /> Ln 0 Q¢ LL T L O N ` l mil►. <br /> LL.7O (d O T j N 444 <br /> a CL <br /> wZ C• LL o d ¢ ° <br /> U 00 orb rn m Y C o 1O '� <br /> W <br /> � •� a c o�i y �; �°i � in <br /> a° U uai ¢ M Cr0 a <br /> S96 L aunp'009£wJod Sd 1 <br />