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UNITED $TATES POSTAL ~ ~~ <br />t]8 !YO'4' ~6 PM <br />• Sender: Please print your name, address, and ZfP+4 in this box <br />sTAfiE eF coLORADD <br />DEPARTMENT OF NATURAL RESOURCES <br />13A1 8HNERMAN STREET. SUfTE 4 5G AND SAFET7 <br />DENVER, COLORADO 80203 ~ , <br />341300000 <br />Lb M . q r~i_ <br />~~. ,/ <br />?~s~--k~ K~~.~- ., <br />~; ~i-v~'u"-c~J <br />~~jg~~~ <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 />'1r,,,A~rticle Atltlresse/tl to: /~/ `,,,, <br />''/S. ~Crp~r'4 ~ L~G'14~~'~'/~/'`S <br />Jf <br />G//~r~S, ~x ~~ZZ s~ <br />A Signatures/ // <br />X Y/~f U/ L~ ^ Agent <br />/p I ^~q-oA~ddressee <br />B. RecyjVed by (/ICI/rn 'D/~i G~ 1' 14 f Dn ary <br />D. Is delivery adtlress different from ffem 17 ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br />3, Service Type <br />^ Certifietl Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (F-Mre Fee) ^ Ves <br />2. Article Number <br />(Irensfer from servke label) 7003 16B0 0000 6427 9384 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1500 i <br />- - - - ~ <br /> <br />