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III 1111111111111 III <br />999 <br />d <br />v <br />m <br />A <br />c <br />0 <br />v <br />w <br />s <br />0 <br />U <br />nl <br />N <br />O <br />a <br />W <br />5 <br />0 <br />a, <br />a <br />•COmplate items 1 andor 2 for atlditional serNCea. I a150 wish f0 rBCBIVe the <br />•Complete ilema 3, ba, entl 46. fOIIOWInJ SBNICBS (fOf an <br />• PnM your name erM address on Na reverse of this loan ao that we can return Chia extra fe0 <br />~ <br />wrtl to you. ~ <br />•Mach this form to the front of the mailpiers, er on the back it space does not <br />it 7 , ^ AddreSSBB 5 Address <br />Z <br />peRn <br />. <br />• Wdte'Retum Receipt Repuesred'an the mailpiece below the elide number. Q, ^ RBSlricted DBIiVery y <br />yY <br />•Tha Return Receipt will show to whom the aniUe was tleliveretl end tha tlate <br /> <br />tleliveretl. <br />Consult postmaster for fee. G <br />_ <br />Berhan KEfflew <br />CO Dept rJat Resources <br />1313 Sherman St R-um 215 <br />Denver, CO 80203 <br />Perln i~ 80 244 <br />or <br /> d <br />4a. Article Number <br />P 222 140 339 <br /> ~ <br />4b. Service Type d <br />^ Registered ^ Certified ~ <br /> <br />^ Express Mail ^ Insured m <br />5 <br /> <br />^ Relum Receipt for Merchandise ^ COD a <br />~ <br />7. Date of D livery <br />io~~`7 ~96! ~ <br />o <br />r <br />8. Addr see' Address (Only it requested ~ <br />and lee is paid) t <br /> r <br />PS Form <br />