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^ Complete items 1, 2, and 3. Also complete a Signa se <br />item 4 if Restricted Delivery is desired. ^ Agent <br />X '~ <br />^ Print your name and address on the reverse H Addressee <br />so that we can return the card to you. e. ceivetl by (Pdnted Name) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, _ 2 <br />or on the front if space permits. <br /> ^ <br /> Yes <br />D. Is tlelivery addnss different from item 1? <br />1. Article Addressed to: If YES, enter delivery address below: ^ No <br />U.S. Bureau of Land Management <br />Little Snake Field Office <br />455 Emerson Street <br />Craig, CO 81625 <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdaed Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(lFansfer from serNce labeq 7003 1680 0000 6423 4086 <br />PS Form 3811, February 2004 Domestic Retum Receipt _, tozsgs-02-M45ao <br />