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. . <br />^ Complete items 1, 2, and 3. Also complete A. Signa ure <br />item 4 if Restricted Delivery is desired. ~ ^ Agent <br />^ Print your name and address on the reverse X ^ Addressee <br />so that we can return the card to you. g. Receivetl by (Pooled Name) C. ate livery <br />^ Attach this card to the back of the mailpiece,, <br />or on the front if space permits. ~~ <br />D. Is delivery address d'Aferem tram item t? Q Yes <br />1. Article Addressed to_ _ - S, enter delivery address below: ^ No <br />Colorado Department of Transportation <br />222 So. 6th <br />Grand Junction, CO 81501 rice Typo <br />rtified Mail Q Express Mall <br />^ Registered ^ Retum Receipt for Memhantlise <br />^ Insured Mall ^ C.O.D. <br />4. Restdcted Deliveryt (Extra Fee) ^ Yes <br />2. Article Number 703 168 0000 6423 3737 <br />(rians/er fiom service label) <br />PS Form 3811, February 2004 Domestic RetUm Receipt - 102595-02-M4540 <br />