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- .y <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. Article Addressed to: <br />A. <br />ft ? Addressee <br />B. eceived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different frorem 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Colorado State Land Board <br />1313 Sherman Street Room 620 <br />Denver, CO 80203 3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />1 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service label) 7003 1680 0000 6423 3638 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540