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III 1111111111111111 <br />~. <br />N <br />O <br />On <br />~~ <br />I ar <br />c <br />V~ <br />N <br />a <br />P 427 45~ 880 <br />RECEIPT FOR CERTIFIED MAIL <br />ND INSDPANCE CDVEPAGE PflOVIDED <br />Ngi FOP INiEflNAi10NAl MAIL ;~ <br />(See Reversal <br />DEPT OF HEAI..TH 3 <br />WATER ~UAL.I7Y CONTROL <br />210 E 11TH AVE <br />~ENVER CO 80220 w <br /> <br />PostagS S I: <br />Cem~~ ee <br />S <br />\ <br />"~ <br />$pe4rrel Q~very Fee ` <br />~' <br />(;r <br />,; <br />Aegnc Oelrvr;~~F>~ <br />^ <br />v' L <br />R!(urn Receipt snowing <br />to i+11om and Dale Ic~re <br />R¢IUln F~~pylpj 5 IO whOm. <br />Dare. and Atld/ s elrvery <br />TOTAL P3961a a ees 5 <br />f• <br />Pos or re <br /> <br />t. ) <br /> <br />to <br />s <br /> <br />.SENDER: Complete Items t end 2 when edditlonel servlcaa are deslretl, end complete items 3 <br />end 4. <br />Put your edtlress in the "RETD RN TO" v:e on the rayprse slde~ Fellu ra tp do thla will prevent this <br />terd from being returned to you. Tha ratu rn receipt lee will ordvlde you the name of the oersgn <br />delivered to end the dale of dellverv. For etltlitlonal~ees the lollowing servlcas ere available. Consult <br />post neater for fees end check box(n) for adtlltlonal service(s) requeated. <br />1.. ^~Show to whom tlellveretl, tlete, entl eddrassee'y adtlran.. 2. ^ Restricted Delivery <br />t /Ex(ra charge) t t /Esfra charReJ t <br />3 °a-'-" " ~ - - - 4. Articl Number <br />P~ oYD <br /> <br />DEPT OF HEALTH Tvpe of service: <br />WATER (31JA1_ITY CONTROL pIV ~ Registered ^ Insured <br />ifi <br />C <br />d ^ COD <br />4210 E 11TH AVE ert <br />e <br />^ Express Mail <br />DENVER CO $0220 <br /> Always obtain signature of addressee <br /> or agent and DATE D~ E~ LIVERED. <br />5. Signature -Addressee 8. Atldressee's Ad rasa (O.NL Y iJ <br />X reyueslgd and f~ eg~pfdJ '.. <br />8. Signatur t r ~ ` <br />X <br />7. D e f ery <br />PS Form 3811. Mar. 19137 + U.S.G.R.O. [gel-t7e-sae DOMESTIC RETURN RECEIPT <br />