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A.Signature: (0 Addressee or A9!tq ` <br /> ■Ensure items 1,1,and 3 are completed.■Attach this card to the back of the mailpiece,or on X <br /> r- <br /> the front if space permits. <br /> B.Received By:(Printed Name) C.Da e o Delivery <br /> I <br /> fC •� -J`� <br /> r <br /> 1.Article Addressed to: D.Is delivery address different from item 1? -_;Yes <br /> Suite 160 If YES,enter delivery address below <br /> Teller-Park Conservation District <br /> 800 Research Dr <br /> Woodland Park CO 80863-9732 71 <br /> i <br /> I <br /> 3.Service Type <br /> �I�I��l������ II���III I �I�'(�I I II��I �Ir ✓.Certified Maim, <br /> ) <br /> 9490 9118 9956 1537 8357 34 1 �g` <br /> 2.Article Number(Transfer from service tab,- / ) <br /> 9414 7118 9956 1537 8357 85 <br /> PS Form 3811 Facsimile,July 2015(SDC 39301 Domestic Return Receipt <br /> • 7 'Z4 <br /> ture: (0 Ad es e or0 Agenfj " ' i■Ensure items 1,3,and 3 are completed.■Attach this card to the back of the mailpiece,or on <br /> the front if space permits. <br /> ceived By:(Printed Namej V <br /> h. <br /> 1.Article Addressed to: D.Is delivery address different t m item 1? ---Yes <br /> tf YES,enter delivery address below: No <br /> Bc:,�-d of County romwrlSs,t' <br /> ParK Otln�y ,9��} <br /> Sox 1373 City cU L/r.lyfr k) <br /> !."�:ia} °.L` �- ,i7 — J <br /> i U SGur1 <br /> � �F�ri � � �� �_� 7 ��•�� �t��i��� ` , .1�_� 3.Service Type. . <br /> 2.Artioe Number(Translar from service label) <br /> PS Form 3811 Facsimile,July 2015(SDC 3930) Domestic Return,Receipt <br />