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CERTIFIED MAIL RECEIPT <br /> (Domestic mail only: No Insurance Coverage Provided) <br /> U.S. Postal Service Article Sent TO: <br /> M1 <br /> m Upper Huerfano Soil Conservation Dirt. <br /> uT Postage S <br /> Er <br /> -11 fU Certllled Fee O G� M(QTO <br /> y. Return Receipt Fee <br /> O (Endorsement Required) <br /> Q Restricted Delivery Fee <br /> O (Endorsement Required) <br /> L'.IUIJ <br /> Total Poutege.Frees <br /> O <br /> rU <br /> nl Name(Pleas&Print Clearly)(To be completW <br /> rn <br /> Uype r...Huerfano_..Sni1..Cnoseryatina.�ist_-. <br /> p— Sfne,Apt.No.;or PO Box No. <br /> C3 .601_a <br /> _ ....Albert.-�- -- --------------------------- ----------------- <br /> M1 City,Sate,ZIP.e <br /> w <br /> PS Form :rr <br /> .July 1999 See Reverse for Instructions <br /> �a=-•F. N� r�q 2� 11�]7 ir�U r��+ �.AC�� SGR.lt-3G�, CO F'-';:UC <br /> .o SENDER: I also wish to receive the follow Q S <br /> m ❑Complete items t and/or 2 for adds ional services. ing services(for an extra fete 4� <br /> 0 Complete nems 3,aa.and 4b. c, rr <br /> ❑Pdnl your name and address on the reverse of this form so that we can return this r <br /> > cam to you. i. ❑ Addressee's Address o <br /> 0 ❑Aftach this form to the front of the mailpiece,or on the back it space does not <br /> m 2 ❑ <br /> pmmil. Restricted Delivery r., <br /> ❑Write'Return Recepf Requested'on me mailpiece below the article number. <br /> ❑The Return Receipt will show to whom the aNcle was delivered and the date <br /> G delivered. <br /> u <br /> m 3.Article Addressed to: 4a.Article Number <br /> a Upper Huerfano Soil Conservati 7099 3220 0004 2695 3672 E <br /> E .Service Type a <br /> $ District ❑ Registered Certified <br /> a <br /> 601 S. Albert ❑ Express Mall ❑Insured <br /> as <br /> M ❑ Return Receipt for Merchandise ❑COD <br /> ldalsenburg, CO 81089 3 <br /> a t of Delivery <br /> = 1 0 <br /> g 0 T <br /> 6.Received By: (Print Name) 8. dressee's Address(Only it requested and c <br /> w fee is paid) c <br /> M C/r4'e—L,L41- H <br /> N 6.SI ature( dressee or ant) <br /> 0 <br /> F67r ,Decem r omestic Re ur Receipt' <br /> .0 Flfr <br />