2015-10-13_REVISION - C1981014 (5)

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1 Complete items 1, 2, and 3. 1 Print your name and address on the reverse so that we can return the carr) to you. Attach this card to the back of the maiipiece, or on the front If space permits. Article Addressed to: US Bureau Of Land Management 3028 E Main St Canon City, CO 81212-2731 111111111 IN 111111111111111111111111111111111 9590 9403 0168 5120 0843 43 . Article Number ftirisfer from seMce ARW '015 1520 0000 5165 0367 a Form 3811, April 2015 PSN 7530-02-000-8053 -Aar I— - l�fr40 C3 Agent Complete items 1, 2, and 3. A. Signature ❑ Agent X p Addressee ■ Print your name and address on the reverse X B. Receiv Anted Nemo C. D f �y so that we can return the card to you. ❑ Addresse �' 1 � B. Received by (Print C, Date of Deliver i� �.2�4}'5 1 ■ Attach this card to the back of the mailpi, e, D. Is delivery address different from Item 1? ❑ Yes or on the front if space permits. M YES, enter delivery address below Q No 1. Article Addr to: D. Is delivery address d' es If YES, enter delivery ad low: N Fy coil fo (30 51 3. Service Type ❑ Pdorfty Md Expre8911111 ❑ Adult signature ❑ Registered McIP - ❑ Adult Signature RestrloW Delivery ❑ Ceraw Mein ❑ Registered Mall Restricts De4verY ❑ Certlfled Map Restricted Dellvery ❑deo0.elpt fw 13collect on Delivery Attach this card to the back of the mailpiece, ❑ Collect on Delivery Restricted Delivery 13 signature confirmation - r, ' Md ❑ signature onflrtnation Mail Ree &ftd Delivery Restricted Delivery Domestic Return Recut 11111111111111111111111111111111IIIIpIIIIIIA 9590 9401 oo„ ,o,, 8713 03 2. Article Number (Transfer from service iabei) 7015 1.5Z10 0000 51b5' 0220 PS Form 3811, April 2015 PSN 7530-02-000-9053 I• Complete Items i '$; and 3. A. 3 nature -- Adult urge i Print your name app address on the reverse X d C3 Agent � Complete Rem 1, 2, and 3. so that we can return the card to you. Delivery ❑ Addressee • Paint you ate and address on the reverse Attach this card to the back of the mailpiece, B. Received by jPdnilsd Neme1 C. Iveuy so that we op r4Wm the card to you. or on the front if space permits. D. Is delivery address different item 1? from ■ Attach this card to the back of the malipiece, or on the front If space permits. Yes Article Addressed to: MaU Restricted Delivery If YES, enter delivery address below: ❑ NO 1. Article Addressed to: Daniel & Patrick Gould I I' 3465 Locke Mountain Rd Stuart Parker Florence, CO 81226-8930 I i; 300 Beltramo Lane I•. Canon City, CO 81212-9347 111111111111111111011111111111111111111111111 9590 9403 0168 5120 0840 77 Article Number (Transfer from service Tabu - — 015 1520 0000 5165 0497 5 Form 3811, April 2015 PSN 7530-02-000-8053 o Priority Ma" Ex I Adult urge a TN ❑ Arlt SigneWirs Reetrioted Delivery ❑ R= Mail Restricted ❑ CerBfled Mal® Delivery ❑ Certlfled Mall RaNrkxed Del" ❑ Retum Rooelpt for ❑ CoWd on Delivery Men handke ❑ Collect on Delivery Restricted Delivery ❑ Signature ConflmretbnTM Yoxed Mall ❑ Signature Confirmatlon MaU Restricted Delivery ResMeted Delivery Domestic Return Receipt 3Service Type ❑ Priority Mail Express® E Adult Signature ❑ Registered Mail— ❑ Adult Signature Restricted Delivery ❑Registered Mail Restric ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation ❑ Insured Mail ❑ Signature Confirmation ❑ Insured Mail Restricted Delivery Restricted Delivery Domestic Return Recelp 0 Agertt Repelved by�FnWWC. Dateof Deliver 1Y D. Is deliveryaddress Wetent front ttem 1? Dyes If YES, enter delivery address below: 0 No 3Service Cl RlMail aIl-1llillll ll111111111111111111111111111111111 ❑ Adult s iss® ❑Registered ❑ Adult Sipltshre ResMcied Delivery ❑ Registered Mail PA*lo DM 590 9403 8 5120 0840 84 9 016 C3 Certified Main 0 GsrWW Mall ReeWded D* -y 13 tuM Rtpt for on De�verY coW on Delivery Reebfated Delivery ran❑Cdleot ❑ Signature Confirmation ❑ Signature, Confirmation 2. Artide-NumbeIr mWistar13 t: Restricted Delivery 7015 1520 0000 516 5 0 4 6 6 Restillicted 00 ti ❑ lover 55 4 P3 C=orm 38&,1!1;jA001l,6 PSN 7530-02-0009053 Domestic Return RecelE