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<br />S~- / <br /> .. <br /> <br /> .. <br />m <br />'~ }0.E <br />~ ~t ~~' t <br />m - u .. <br />7 <br />..n <br />Poslepe <br />S ~ _ _ <br />%it ~ <br /> <br />l7 p <br />~ Relem Redept Fee ~ t/ . 1 ., R¢re <br />' <br />l7 (FiMOrsement RequlrerQ , b c <br />-, <br /> <br />EMOreemaM Regal(ed) '` ..' <br />7 <br />c0 ( ~ <br />~ <br /> <br />.~ <br />c <br />~ <br />`~~,n , <br />_r <br />~ Totnl Poetepa 8 Fees ~ <br />$ ~ <br />o • Bureau of Land Management <br />,~ :Little Snake Field Office <br /> 455 Emerson Street ~""°-""""°~"'" <br /> Craig, Co 81625 <br />^ 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 that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atltlressetl to <br />Bureau of Land Management <br />Little Snake Field Office <br />45~Emerson Street <br />Craig, Co 81625 <br />2. Article Number <br />(i7ansrer /rom seMCermm)-- <br />PS Form 3$11, February 2004 <br />A Sig are <br />X v ^ Agent <br />^ Atldre <br />B. Receivetl by PrinteQ..(Va eJ ~ C.~tte of pgli <br />D. Is delivery addkss diffe(ent from item 17 U Yee <br />If YES, enter delivery adtlress below: ^ No <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (EMra Feel ^ yes <br />1680 0000 6431 3576 <br />Domestic Retum Receipt <br />102595-02-M-1500 <br />~~~ <br />