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<br />N <br />A <br />m <br />Q <br />Q <br />C <br />O <br />m <br />LL <br />a <br /> <br />w SENDER: I also wish to receive the <br />9 • Complete items t anNor 2 for atldilional services followin services for an <br />m • Complete items 3, 4a, antl 4b. g <br />d • Prim your name and atltlress on the reverse of fh~s loan so Thal we can return this extra fee): i <br />cartl to ou. ~ <br />d • Anach this form to the Iron) of the mailpiece, or on the back d space does not 1. ^ Addressee's Address <br />perms. 2. ^ Restricted Delive N <br />m • Wnte 'Remm Receipt ReGuesred'on fne mailpiece below the arocte number. ry <br />y • The Rewm Receipt wJt Snow lor+hom fne adi<le was tleliveretl antl the dale COns011 ostmaster for tee. n <br />delrveretl P <br />0 3. Arlide Addressed to: 4a. Article Number <br />m Bureau of Land Management Z 182 451 258 <br />a District Office 4b. Service Type ; i <br />g 3170 E. Main Street ^ Registered ,~certitied ¢ ~ <br />yl ^ Ex ress Mail ^ Insured O1 <br />rW~MI Canon City, CO 31212 P ~I <br />^ Return Receipt for Merchandise ^ COD ~ ' <br />Z 182 451 258 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Inlematinnal Mail /Sww mvwrewl <br /> <br />~"10 Bureau of ]Land Mgmt <br />ree <br />3170 E. <br />Post Office, Stale, 8 ZlP Code <br />Canon Cit <br />Postage S 3 <br />Cedified Fea y~ <br />Spedal Delivery fee <br />Resfdded Delvery Fee <br />Relum Receipt Showing to <br />Whom 8 Date Delivere <br />~ ,ljl <br />Rpfum Receipt <br />Date, 8 Pddraue's rest (J <br />~•. l~ <br />TOTAL Postag ~ s <br />Posbnark or Daps; 19)9 <br />JJ ar <br />St~ <br />~ 6. Signat e~. (Addres ee or t~pr <br />'o X ~ <br />T <br />7. ate.of D ivery <br />L~~~~l~ ~ ~-.~ T <br />8. Addressee's Address (Only i equesfed Y ~ <br />and lee is paid) ,~, i <br />t <br />h <br />~ PS Form 3811, December 1994 102a95~96~6 0219 DOfT10SiIC <br />