REP05601

• Permit No: M1994114
• IBM Index Class Name: Report
• Doc Date: 11/18/1997
• Doc Name: ADMINISTRATIVE RECORD
• Media Type: D
• Archive: No

Z 239 765 LoD
US Postal Service
Receipt for Certified Mail ,
- ~ ~ ~ ~ ~ ~ ~ No Insurance Coverege Provided.
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Do not use for IntemaDonat Mall See reverse
' Robert E. Bement
Rancos Soil Conservation District
626 Hest 5th Street
Cortez, CO 81321
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• •Camp.ts name 3. ee. erq ~D. following services (loran
•Pdrs your rums end eddreas m tha rewne of frss brm w met wa ran r°um flue 0xtre tea):
° •M sdi C~i'uulann to Ilr from of 8• mailpiea. w on N• Deck H spsn dose nw 1. ^ Addressee's Address ~ i
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sJ •TM Rslum Rewipl will snow to wlgm tM eflide wee tlalivered end Na tlale
~ alir•red. Consult postrnaster for fee.
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g RObert E. Hement
Mancoa Soil Conservation District
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rn 628 Weat 5th Street
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CO 81321 ^ 6cpress Mail ^ Insured °
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L7 neNm Receipt for Memhan6se p COD ~ ~ ;
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• PS Form 3811, December 1994 f0259S9]-B-0r]9 Domestic Return Receipt
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