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• Complete items 1 and/or 2 for additional services. I also wish to receive the <br />• ~ replete items 3, and 4a & b. following services Ifor an extra <br />• [your name and address on the reverse of this form so feel: <br />thae..Be can return this card to you. ~, ^ Addressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />back i( space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece next to 2. ^ Restricted Delivery <br />title Atltlressetl to: <br />WYOMING DEPT OF ENVIR QUAL <br />122 W 25TH ST <br />4TH FL WEST WING <br />CHEYENNE WY 82002 <br />4 Article Number <br />~'~GD i7Q~/~ <br />46. Service Type <br />^ Registered ^ Insured <br />Certified ^ COD <br />Express Mail ^ Return Receipt for <br />5. Signature (Addressee) 8. Addressee's AddressylQld1!' (~~'if~d <br />and fee is paid) <br />g. Signature (Agent) ._~ l <br />>t <br />+,. + <br />p~m 11, October 1990 >us.oro:+rpo-vaee+ DOMESTIC FcTIJ _ IP <br />~s Ny <br />