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SENDEW COMPLETE THIS SECT ION COMPLETE THIS SECTION QN DFLIVER)i <br /> A.Slqn�aturo. 10 Addfolsoo 4f Agent) <br /> •Ensure Itwns 1,2,and 3 are completed. <br /> •Attach this card to the back of the mailple",or on <br /> the front If space permits, <br /> B.A*611vod By:(Primad Name) <br /> (A r. 6 sllvory <br /> 1.Article Addressed to: Ely" <br /> If YES,enter degmy sillbmise b0w oft <br /> Lake County Conservation District <br /> 5575 Cleora Road <br /> Salida CO 81201-9759 <br /> II 3,Service Type <br /> Certified Msflt-- <br /> 9490 9118 9956 0775 6591 64 <br /> 2- 77 At" <br /> PS Form 3811 Facsimile,July 2016(513C 3M) Domestic Return Receipt <br />