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SECTIONMDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY COMPLETE THIS SECTION ON DELIVERY <br /> SENDER:COMPLETE THIS <br /> ■ Complete items 1',2,and 3. A.-S-ig-n7dure A. Signature <br /> ■ Print your name and address on the reverse X L, f ✓ / eat ■ Complete items 1,2,and 3. <br /> ��f � �l- �y"❑ ddr see ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> Received y Wed N mQ C a ery so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, /,. , B. Relived by Name) C. Date of Delivery <br /> or on the front if space permits. r / - �y ■ Attach this card to the back of the mailpiece, / <br /> 1. Article Addressed to: D. Is deli�e a re ifferent from item ❑ s or on the front if space permits. o6, d h <br /> If Y.ES,en liv6ry ddress below No 1. Article Addressed to D. Is delivery address different fro <br /> item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> DEMOPOULOS,VENETIA <br /> DOHERTY,ROBERT J&DONNA <br /> 7357 LAVERGNE AVE �� ' 5134 MALAYA STREET <br /> SKOKIE,IL 60077 DENVER,CO 80249 <br /> 3. Service Typ ❑Priority Mail Express® <br /> El Adult Signature ❑Registered Mail TM 3. Service Type ❑Priority Mail Express® <br /> Il I IIII'I IIII Ill I I I l I l I I II IIII III(IIII ICI I'll <br /> Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Adult Signature ❑Registered Mail— <br /> Certified II IIIIII IIII III I I I I I I I I II(IIII II III I II I II III <br /> Certified Mail® Delivery ❑Adult Signature Restricted Delivery ❑Registered Mail Restricte <br /> 9590 9403 0904 5223 6761 97 Certified Mall Restricted Delivery ❑Return Receipt for ❑Certified Mail® Delivery <br /> 0 Collect on Delivery Merchandise 9590 9403 0904 5223 6762 41 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> 7. Article Number(Transfer from service label) Q Collect on Delivery Restricted Delivery ❑Signature ConfirmationT'" ❑Collect on Delivery Merchandise <br /> ---=d Mail ❑Signature Confirmation 2. Article Numhwr(Transfer frnm candra fir dt ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> T" <br /> 7 015 1660 0000 0779 6634 °d Mail Restricted Delivery Restricted Delivery ail El Signature Confirmation <br /> $500) 7 015 1660 0000 0779 6580 ail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Receipt i <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> I Complete items 1,2,and 3. A. Signature ■ A. Signa <br /> P Complete items 1,2,and 3. <br /> I Print your name and address on the reverse X // ❑Agent ■ Print your name and address on the reverse ent <br /> so that we can return the card to you. "`JJJCCC��� ❑Addressee e) ❑Addressee <br /> Y so that we can return the card to you. <br /> I Attach this card to the back of the mailpiece, B. Received qy r <br /> anted Name) C. Dale of eliv ry ■ Attach this card to the back of the mailpiece, B. a iv �fiztd Nam) C. Date of Del•very <br /> or on the front if space permits. / I It,44 - or on the front if space permits. <br /> Article Addressed to: D. Is delivery address differ t tem from i 1? ❑ es 1. Article Addressed to: D. Is delivery dress different from it, 1? ❑Yes <br /> If YES,enter delivery dress below: ❑ No If YE e r delivery address below: ❑ No <br /> BUREAU OF LAND-MANAGEMENT STATE OF COLORADO <br /> ROYAL GORGE FIELD OFFICE- DEPT. OF TRANSPORTATION <br /> 3028 E.MAIN STREET ATTN ROW DEPT <br /> CANON CITY,CO 81212 PO BOX 536 <br /> PUEBLO, CO 81002 <br /> 3.II Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail Expre III III IIII III I I I I I I I I II(IIII II IIIII III II II I ❑Adult Signature ❑Registered MaiITM II I III III IIII III I I I I I I I I II(IIII II I II II(IIII III ❑Adult Signature ❑Registered MailT" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Adult Signature Restricted Delivery ❑Registered Mail <br /> ❑Certified Mail® Delivery ❑Certified Mail® Delivery <br /> 9590 9403 0904 5223 6760 98 ❑Certified Mall Restricted Delivery ❑Return Receipt for 9590 9403 0904 5223 6765 55 ❑Certified Mail Restricted Delivery ❑Return Recall: <br /> ❑Collect on Delivery Merchandise <br /> Article Number(Transfer from service label) _❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"' ❑Collect on Delivery Merchandise <br /> d Mail ❑Signature Confirmation 2• Article Number(Transfer from sarvirra lahell l7 Cnllart fin Delivery Restricted Delivery ❑Signature Cc <br /> 7 015 1660 0000 0779 6757 d Mail Restricted Delivery Restricted Delivery 7 015 16 6 0 0 0 0 0 0 7 7 9 6 2 6 9 °ai1 ❑Signature c <br /> 6500) tail Restricted Delivery Restricted I <br /> nnaa <br />