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<br />¦ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />ame and address on the reverse <br />i <br />t <br />u <br />¦ P A. Signature <br />X Agent <br />[3 Addressee <br />r n <br />r <br />n <br />yo <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, B. Received by (Printed Name) <br /><? J?? C. Date of Dell ry <br />ca <br />or on the front if space permits. <br />Is delivery address different from hem i? <br />D <br />? Yes <br />1. Article Addressed to: . <br />If YES, enter delivery address below: ? No <br />Route County Commissioners <br />Commissioner <br />unt <br />C <br />y <br />o <br />773598 <br />P. <br />CO 80477 <br />OA-o <br />in <br />s 3. Servi pe <br />Certified Mail ? Express Mail <br />, <br />g <br />Spr <br />at <br />St ? Registered ? Return Receipt for Merchandise <br /> ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service label) ?006 3450 0000 408 3281 <br />?S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540