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Permit#: -O Confidental?: <br />Class ~ a Type- q.: <br />From: mS 2 To: Cy, <br />Doc. Name: ZnsOe i o <br />Doc. Date (if no d5te stamp) <br />tr <br />m <br />tr <br />`^ DMG-1313 Sherman, Rm. 215, Denver, CO 802D3 <br />p Postage $ ~ <br />O- Certifietl Fee <br /> CQ <br /> ~~ <br />m Return Receipt Fee <br />,a (Endorsement Required) - ~~ .~O <br />~ Restrictetl Relivery Fee <br />0 <br />' ~~ <br />(Endorsement Required) , <br />(7 ~l~ <br />T <br />t <br />p <br />o <br />al Postage 8 Fags <br />T <br />rr7 Recipientb N/at~ne (Please Pnal~l ly) (~ be p m <br />/ <br />j <br />~ ~ <br />Stare . Na.; o IIB~~o//x~~ Na. f,~~[/ <br />\^ <br />r• c~sr~ie,~fP+4 ' ~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if Space permits. <br />Print <br />~, <br />1. Article Addressetl to: /~ <br />~Ye-g1 ~/~Y~JAh vT l /' <br />l~s~-W, ~h. ~~, <br />Golc~~,~, ~~ Solto3 <br />X S Iture - ~ x <br />Agent <br />^ Atltlressee <br />D. Is delivery atldress different frc item 1? ^ Yes <br />If VES, enter delivery address below: ^ No <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhandise <br />~ Insuretl Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Extra Fee) ^ Yes <br />2. Article Number (Copy rrom service label) <br />709$ 3~tcx) bnt3 99D1 ~~ <br />PS Form $Si i, July 1999 Domestic Return Receipt 102595-OO~M-0952 <br />