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<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. nnArticle Addressed to: <br />~t~.STATE BRD OF LAND COMM. <br />i~13 SHERMAN ST RM 620 <br />DENVER CO 80203 <br />A. Sig a re, <br />X •~' ~~ _ ^ Agent <br />^ Addressee <br />B. Receivetl by (Printed Name) ate of Delivery <br />~;~ ? ~~-- <br />D. Is delivery address different.7~fn item 1? ^ Yes <br />If YES, enter delivery atltlress below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ Yes <br />2. Article Number 7001 1940 0006 3647 4163 <br />(trans/er /rom service label) <br />PS Form 3811, August 2001 Domestic Return Receipt to25e5-ot-M-25os <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 wa can return the card to you. <br />^ Attach this card to the back of the mallplece, <br />or on the front if space permits. <br />1. Article Addressed to <br />MR AND MRS RUBEN R WOLLERT <br />7595 COUNTY ROAD LL <br />LAMAR CO 81052 <br />nature <br />c^-.~r~~c-L~c~ ^ Agent <br />^ Addressee <br />B. Received by {Printed Neme) C. Date of DelVvery <br />D. Is delivery address different f 'tam 11 Yes <br />If YES, enter delivery adN ~~ ~ ~ <br />3. Service Type <br />^ Certifietl Mail ^ Express <br />^ Registered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ G.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Number <br />(rrans/er /rom service /shag 7001 1940 0006 3647 4156 <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-2509 <br /> <br />APR 16200'1 <br />Division of Minerals end Geology <br />