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• 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 mailpiecs, <br />or on the front If space permits. <br />1. ArWe Addressed to: <br />Natural Resource <br />Conservation Service <br />248 Dozier Avenue <br />Canon City, CO 81212 <br />[3. sued Prated erne C. Date of fel ery <br />. io ddwy address di wa t from stern 1? 0 Yes <br />ff YES, enter delivery address below. 0 No <br />0 certined ratan 0 Ewsss Mad <br />13 Re&Wmd 0 Retum Receipt for Merdmndlse <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Daiivery? (Fcba Fee) 0 YW <br />2 <br />Afte OMMd Number <br />ftM 7014 1200 0001 5001 4923 <br />fnan� trom serutoe <br />Ps Form 3811, February 2004 Dornesdo Return Receipt 102sse- M -M-1W <br />"Nattl, r at imesouree - -- <br />E3 3j ............... <br />V- or Conservation Service <br />C' 248 Dozier Avenue <br />Canon City, CO 81212 <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 tack of the mailplece, <br />or on the front If space permits. <br />1. Ardde Addressed to: <br />Fremont County Board of <br />Commissioners <br />615 Macon . <br />Canon City, CO 81212 <br />A. Signature <br />t3 BScdved by (PdnW Mama) C. Date of DW y <br />ai m+ Vic, -1 -• r,2 -t5 <br />D. Is delivery address ditfmwd from stern 1? 0 Yes <br />If YES, enter deWery address below: JO No <br />3. S7jrps <br />Certim Map O Erb Marl <br />® ReOdered 0 Return PWW for Momhandee <br />0 Insured Map 0 C.O.D. <br />4. Restricted Denvery? (FSrtra Fee) 0 Yes <br />2. Artitcle Number 7 014 1200 0001 5001 4 916 <br />manwer from service labeg - <br />PS Form 3811, February 2004 Donresdc Return Ra mipt 10259540244 -1640 : <br />A Fremont Uounty isoara of <br />C3 !r .. <br />r` arMr Commissioners __ -------- <br />615 Macon <br />Canon City, CO 81212 im <br />