Laserfiche WebLink
r Comrpleta ftsnts t. $ and 3. Also counplete A Signature <br />• <br />Item 4 M Restricted DelNery le desired. ~ A9~ <br />x <br />r Print your name end address on the reverse ~ Addressee <br />80 that WB sari Tatum the card to you. B. Received Uy (Primed Name) G Date or Delhrery <br />r Attach this card to the beck of the meilpiaca, <br />or on the from if space permits <br />. <br />-" <br />o. r dem~y edmase diReraRertom n~„ n ^ we <br />t. ANcia Addressed to: if YES, enter delNery address uelow: ^ No <br />USDA :laturai Resources <br />Conservation Distract <br />Ca-wn Cat) Se±vice Center <br />248 Dozer Ave. <br />Canon City, CO SI2s2--2704 <br />s. Service lypa <br />O t.srtlned Man ^ Bque~ Malt <br />D Regmrered ^ Ream. fa MercM1antliae <br />^ ntetaed Men ^ ao.o. <br />a, Resmeced oeiNerya (Exaa Fee) ^ Yea <br />2. Artlde Number <br />(!lis~samm~#ce~ <br />i PS Form 3811, February 2004 Dartieapc Batton Receipt daasasa¢~taut , <br /> <br />a^ <br />m ~ <br /> .. <br />m <br />m - _ - ~ CITY C4 B121f <br />N L <br />D' Roetege s 94.39 4763 <br />c ceruned Fee 52.40 4' <br />~ <br />t7 <br />Return ReceryF Fee <br /> <br />91 <br />85 •, Possnera <br />{Ere <br /> (EMorsement Requred) . ~ <br />~ <br />l7 Restricted Delivery Fes <br />(FSdorsgmeM Required) <br />14.44 ~ <br />ra <br /> <br />~ <br />Total Postags & Fees <br />.$ <br />94.64 (y~ <br />41~1~~<yy7 <br />.~ <br />O ant TO 1 <br /> <br /> or Po aox No. <br /> Gry~ State, zlF4d ............ <br />r r ..................... .................................... <br /> <br />• <br />