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IAN- M -2CXo0 -Ul}U <br />al,+'fiea Mai 1 <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery Is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailplece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />SECTION CONIV--ETE THIS .. <br />A. Signature <br />X NV+ <br />B. Received by�Pdnta;l <br />Ms. Dana Bardsley <br />Medicine Bow — Routt National Forest <br />210 S. 6th St. <br />Kremmling, CO 80459 <br />0 Agent <br />C. Date of Delivery <br />D. Is deliveil dddh" differerit;Q�nm item 1? U4 Ye: <br />If YES, er delivery adc�re�s`fow: 0 No <br />�.0, -y' <br />j4y\ (,V\kA n CO �LJ44 <br />3. Service Type <br />0 Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Dellvery? (Extra Fee) 0 Yes <br />2. Article Number 7010 1060 0001 0936 8167 <br />(transfer from service label) ___ __ _ _ -_ - -- - - -- — -- - - - <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Postal <br />CERTIFIED MAIL,, RECEIPT <br />17� <br />(Domestic Mail Only.: No Insurance Coverage <br />Provided) <br />ra <br />CID <br />k— <br />M <br />Er <br />Postage: <br />$132 <br />$3.10 <br />C3 <br />Certified Fee: <br />$2.55 <br />Return Receipt Fee: <br />C3 <br />Q <br />Rett <br />(Endorsee Total Postage & Fees: <br />$6.97 <br />C:3 <br />Restricts <br />(Endorsement Required) <br />—0 <br />E:3 <br />Total Postage & Fees <br />Dana Bardsleyicine <br />C3 <br />Bow — Routt National Forest_._.___ <br />LMs. <br />S. 6th St. <br />- - - - - -- <br />mmling, CO 80459 <br />MOM= . <br />