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S <br />l ^ • <br />~. <br />I ~ ~i <br />I ~ :~~ <br />N <br />{ ~ <br />ad <br />+ J . ~ ao, a <br />V O <br />~:~~ I H U <br />G x~ 1 p+.r <br />'$o~ O d <br />- ~~i' lNN <br />, O <br />boo •rl I-+ <br />W F+ KT <br />I _ 6 W .,..r {.L. <br />r----- f U <br />t <br /> <br />N~ 2 g -'~= <br />Wt ~ `~ib?e <br />~~ ~ a~s;- <br />I-LL Ce~E EVE <br />I NO Z ~:ot'ic <br />W y :a~;€E <br />~ ~3i-Ws <br />~6 _ <br />~` <br />z <br />~o <br />W ~ <br />C <br />r +D pl L <br />.°, M O eV <br />m x d <br />° O e <br />V <br />z ~ <br />~ ~ <br />m <br /> O m <br /> 7 y <br /> G ~' V <br />I <br />O J <br />J <br />o~ f d <br />~M W ~i <br />~ti LL ~~ <br />~N ~ <br />~Ml ~ W ~ ~ <br />O f1 o a <br />O . J `~ <br />~ Z+ a a <br />W °z <br />t0 W <br />~~ <br />~~~~~ <br />r <br />STtd(PDSTA6E STAYS TO AlI11CLE TO CDYEA FWST CLASS PDSTA6E, . <br />r CERTEU:U MA1 FEE. AND CNAI16E3 WR AMT SELECTED OPIIDNAL SERVICES. (fora hmQ <br />1. 11 you want INS receipt posunaneeo. sock Ins gummed sNb on the bR paean of the address srde A <br />;he article, YaHnp the nttlpt aDacMd, artl Dresent the article at a Dust oR¢e service wudOw a <br />AaM it to your rural tamer. (no extra cwrye) <br />2 side of the arbcte! datefeoetycR and retain ltte tees D4 arN mall tlq artier lee portion N Se iDDress <br />3. 11 you want a return receipt, wets the certrued~mail number and your rums and address M a velum <br />reteipl Card. Fomt 3811. and alldch II IO the lralt 011M aNCle by means 01 1110 QUmmed er105 d spelt <br />pernits. Dlnenwse. ahx to tuck of anlcfe. Enotxse front of anitb RETURN RECFJPT REDUESTFD <br />adjacent to the number. <br />1. II you want delnery restncted to fro aooressee, a to an authmzed agent of the addressee. <br />endorse RESTRICTED DELIVERY on tM Iront of me article. <br />5. Enter loos la the serves reouesled in IM apDropnate spaces on the Mont of tros roeelDt N return <br />wcapt rs lequesud, check the appucable blocks m Mem 1 0l Form 3811. <br />6. Save this receipt ono Dresenl It .1 you melee IIIQuiry. <br />.N N <br />N C r/t +`+ <br />H ~ •Oi ~ <br />y..i N ~ o <br />°~ o <br />~~ <br />p 9n.>aa, <br />~ ~ ~ <br />0 <br />N <br />a <br />I b <br />P <br />A <br />c <br />A <br />2 <br />n <br />rn <br /> <br />Y tl tl tl tl tl Y <br />x <br />a~ w.> <br />a off a~> <br />>= ~ « ~ <br />c so x~ ~Q~ <br />~ 0 35 0~ Qo a r_ fJ <br />W o 3a ~~~ ~~a= ~~a i ~ + <br />y < °~C ~+ <br />~ u ¢ ~o ug,go ~~~ F~W i ° lj! ~AM <br />N ti4~n0 <br />,~ ¢ ~ n: 301Atl3S Ld1303tl Ntln13tl i <br />~ u S3DIAtl3S 1YN011d0 s <br />~ <w <br />1!p g~ <br />s33dtlodtl31svw1soalTntrnoo ° s ~ <br />9L6['~dY'OO~S~d 5 <br />. ~ SENDER: Complete rtern+ I.:. an,l e. <br />- Add wur addmr in N< "RET(JAN 70".+pate vv <br />mere. <br />1. The following eervite it requested (check one). <br />Show to whom and date delivercd.._......... IS! <br />Show to whom, date, & address of delivery.. 35! <br />RESTRICTED DELIVERI'. <br />Show to whom and date delivrrcd .......:..... 65s <br />RESTRICTED DELIVERI'. <br />Show to whom, dart, and address of detiven• 85! <br />Z. M71CLE ADORFSSED TO: <br />_U.S. Department of. the Interior <br />Bureau of Land Pfgmt -Dist.Office <br />3080 Main St. -Canon City, CO 812 <br />3. ARTICLE DESCRIPTION: <br />REGISTERED NO. CERTIFIEp NO. INSURED NO. <br />127309 I ~ <br />(Alwap ebtaln olpratun N addnnu or'agwU <br />I have received the article described above. <br />SIGNATURE ~ Addressi•e ^ Authoriud egret <br />1 j <br />/__ <br />a <br />~ I <br />. <br />DATE~E DE <br />VER POSTMARK <br />~ <br />~J~ <br />S ADDRESS (Complola Only If n0unbdl <br />l <br />I <br />I <br />G UNABLE 70 DELIVER BEGUSC CLERK'S <br />~ ~INITI(~ S <br />n ~a <br />~•' j <br /> <br />rY cv: nx~oroa~asa <br />iJ <br />nFr i r, ~~- <br />..-~^rJ <br /> <br />