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^ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. ^ Agent <br />^ PriM your name and address on the reverse X ^ Addressee <br />s0 that we can return the card to you. B. Rece' by (Printed Nq~p) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, ~ / 0.~ _ ~ _ p-~ <br />or on the front if space permits. ~~1. <br />1. Article Addressed to: D. Is delivery atldress different from item 1? ^ Yes <br />_ _ - It YF4 =~ra•~elivery adtlress below: ^ No <br />United States of America Bureau of Land Management <br />2S1 5 H Road <br />Grand Junction, CO 81 506 <br />.....,....,,a ~>w <br />^ Certifled Mail ^ Express Mail <br />^ Registered ^ Retum Receipt far Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7003 1680 0000 6423 3904 <br />(>-iansler from service label) <br />i- <br />PS Forrn $811, February 2004 Domestic Retum Receipt tnz5s5-0z-nn-tsao i <br />