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^ 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 fhat we can return the card to you. <br />^ Attach this yard to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Longmont Conservation Dist <br />9595 Nelson Rd. <br />Longmont, C0 80501 , <br />A. R rved b (Please Print C/early)~ B. <br />~'I.a 1 ~~r <br />D. Is delivery addr~s tlifferent from item 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br />• _ 3. S <br />e~e Typa <br /> ~ <br />l3 Certified Mail ^ Ex~press Mail <br /> ^ Registered laNleturn Receipt for Merohandise <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. ArticleNUmber 7001 2510 0000 5300 3182 1 <br />(Transfer from service label) - <br />Ps f~43871,3vfatch2opq Domesgs.~~tumReoe~t ~ ro~sas~r~•faz4, <br />RECEIVED <br />APR 13 2005 <br />Division at Minerals and Geology <br />