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<br />Z 239 765 124 <br />u, <br />a <br />m <br />a` <br />C <br />Cr <br />u <br />u <br />a <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />__ r... b.m...e6nnel aAoil rCww rwvBrsB) <br />D.~o:e: Sor~Cr:dS.'rv(~trJ~DrArr <br />Slraetd Numb•S <br />~ S{{J <br />. St~PR'r <br />ei <br />~ <br />Post Office. State, 6 ZIP Code <br />Z CO 21 <br /> <br />PosUge ~ .~ Z <br />Codified Fee ~~ 3S <br />Spedal Delivery Fee <br />Restricted Delivery Fee <br />Retum Receipt Showing to <br />Wham 8 Date Delivered <br />Remm Reccpl ,r ~Q <br />Date, 6 Addy C <br /> <br />TOTAL e 8 F~E <br />' Postrn ~r ale rt O <br />19g) <br />i <br />1` <br /> <br />DENVER OFFICE <br />PUBLIC FILE COPY <br />FILE:;."'-~8A - <br />SITE: Sfax G.>u~~( P,t <br />. . _., .. . <br />-.. <br />SENDEF <br />~ <br />~ <br />9 •Camplela r n n c c. 18150 wlSh t0 fBCBivB the <br />m •Complete items 3, da, and do. fOlbwing 50rvlCBS (for an <br />ru ame and eddrese on the reverse of this form 6a Ihat we can rafum this <br />m •qN ~ ou extra fee): <br />~ <br />o <br />> •Atlach this Conn to the hom of the mailpiers, of on the Deck N apace does nol ~ <br />~, ^ Addressee's Address -° t <br />` permit. <br />p •Wnfe'Rerum Receipt Requested'on the mailpiece below the ankle number. ~ <br />Q, ^ RBStdeted DBIiVBry y ' <br />$ •The Retum Receipt .ill show to wram the erode was delivered end Ina date . <br />~ delivered. <br />o a <br />Consult postmaster for fee. <br />u <br />v 3. Article Addressed to: 4a. Article Nu <br />mber <br />`~ <br />a ' L <br />p <br />z a3 1 705 ~~T c <br />E Dolores Soil Conservation District 4b. Service Type ~' <br />u <br />^ Registered ~ Certitled c <br />628 West 5th Street <br /> ~ Express Mail ^ Insured <br />Cortez, CO 81321 ReNmReceiptforMerchandse ^ COD <br /> 7. Date of Delivery <br /> ~~ ~ <br />r <br /> <br /> 5. Received ey: (Print Name) 8. Addressee's Address (Only it requested ~ <br /> end lee is paid) i <br /> r <br />g 6. Signa re: (Ad asses or Agent) <br />T X <br />O <br />tOC <br />P5 Form 3811, December f 994 7~~8 / S* 59S91 a-0119 Domestic Retum Receipt <br />• <br />.,. ,. <br />~. <br />.. ' K! `:1R` t:. .+^`.~~ 1,.4•'+~ .. ,..,.~sy~~` r~ ~„ _,_ li, : ~ I it <br />'.~. c.fi~''ssat>&L~SGlti ~~l Ksv~l F'ra~,"a~+.G`~:ra i~~ _ <br />_. _., <br />