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M1 <br />a SEnTJ~~R: <br />'y Complete items 1 and/or 2 far etld~t~onal services. <br />m • Complete items 3, antl 4a & b. <br />~ • Print your name end adtlress on the reverse of this form so that we can <br />m return this card to you. <br />• Artach this loan [o [he front of [he mailpiece, ar on the back it space <br />does not Dermit. <br />r • Write "Return Receipt Requested" on the mailpiece below the article number <br />' The Return Receipt will show to whom the article was tlelivered and the date <br />na 3. Article Addressed to: <br />m Soil Conservation SErvice <br />o Custer County Divide ~istr <br />~ Box 756 <br />W WEstcliffe, Colo 81252 <br />c am <br />a <br />~ 5. Sign; <br />~ 6. Signs <br />0 <br />> PS Form <br />m <br />Holmbe <br />December 1 <br />1 also wish to receive the <br />following services Ifor an extra ~ <br />feel: '> <br />i. ^ Addressee's Address y <br />2. ^ Restricted Delivery •m <br />4a. Article Numbs <br />Z /S.~ <br />pr fee. m <br />C <br />~~~ <br />3 <br />¢q. Service Type m <br />Registered ~ Insured <br />W <br />{~Certifie~.~ ~- ^COD 5 <br />/^ Express Mail ~. ^.Return Receipt for ~ <br />' Mera tandise w <br />7. Date bf D ~ yety <br />0 <br />8. Add~essae's A revs IQnly if requested Ar <br />and Pee is paid) ~ <br />m <br />c <br />F <br />ous. uru: tvw-a~z-na UUMt51 IG Ht I UHN HtGt1Y f <br />