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PLATTE SAND 3 GRAVEL~C. <br />SOIL CONSERVATION DISTRICT <br />CERTIFIED RETURN RECEIPT <br />JSryliry 2, 2001 <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 it Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Allach this card to the back of the mailpiece, <br />or on the Iront i1 space permits. <br />t. Anicle Addressed to: <br />S3HMINE <br />PERMIT p M-2000.765 <br />A. Received by (Please Pnn( Cleady) <br />Sig ire <br />~ <br />~/ <br />^ Agent <br />^ Addressee <br />! s delivery address diNerent IrQ item 1? <br />If VES, enter delivery adtlress below ^ Yes <br />^ No <br />Board of Supervisors - Platte V ley <br />Soil Conservation District <br />Ms. Sharon Schuyler <br />840 Broadway Ave. <br />Ft. Luptonr CO 80621 3. Service Type <br />~[ Certified Mail ^ Express Mail <br />^ Regisleretl ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />9. Restricted Dellvery7 (Extra Fee) ^ yes <br />2. Anicle Number (Copy from service labs <br />I ~ ~~~ ~ ~~ I;fll,~! 7060'05$'b•'b027 ~4~~~15 X0599 ' f <br />PS Form 381 ~, July 1999 Domestic Return Receipt r02999~ae~M~a952 <br />