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�s�k M2L)(� -onto <br />cer�- ,Tllcc� NIA. -lI - Un-resolve� ProbL� -ryls <br />• Complete Items 1, 2, and 3. Also complete A re , r . <br />item 4 If Restricted Dellvery Is desired. <br />• Print your name and address on the reverse _ Agent <br />so that we can return the card to you. 0 Addre <br />• Attach this card to the back of the mailpiece, �� �� Addressee <br />or on the front If space permits. B. R Ived by Printed Name) C. Date of Delive <br />I. Article Addressed to: D. Is delivery address different from item 11 0 Yes <br />- If YES, enter delivery address below: ❑ No <br />Ms. Dana Bardsley <br />Medicine Bow — Routt National Forest" <br />2468 Jackson St. <br />Laramie, WY 82007 -6535 Sery C3 Certified MMan O Express Mall <br />- _ 0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number ❑Yes <br />(Transfer from service label) ?010 10 6 0 0001 0 9 3 6 8181 <br />PS Form 3811, February 2004 _ _ _ _ _- <br />Domestic Return Receipt <br />102595 -02 -M -1540 <br />Postal <br />s <br />(Domestic <br />Coverage <br />M <br />ostage: <br />o <br />certified Fee: <br />$1.40 <br />r-3 <br />Return Receipt Fee: <br />$3.30 <br />CI <br />$2.70 <br />C3 <br />� <br />R <br />(Endor..m <br />semYotal Postage &Fees: <br />O <br />Restrloted _ _ _ _ <br />(Endorsement Required) <br />$7.40',. <br />r� <br />Total Postage & Fees $ <br />Sent Ms. Dana Bardsley <br />l <br />rq <br />o <br />StreeMedicine Bow — Routt National Forest - - - -- <br />°rP` <br />-2468 Jackson St. <br />ciiy, ", <br />Laramie WY 82007 -6535 <br />