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Postal <br /> CERTIFIED MAIL-r. R ECEIPT <br />ru (Domestic Mail Only; No Insuranc e Coverage Provided) <br />C3 <br /> For delivery • . e <br />nj ? <br /> <br />co Postage: ? $0.491c <br />:I- Certified Fee: $2.0,' <br />C3 Return Receipt Fee: <br /> <br />C3 <br />C3 (E <br />Total Postage & Fees: <br />O (Endorsement Required) <br />In <br />-- Total Postage & Fees <br />M <br /> <br />-0 s <br />Colorado State Land Board <br />o s Northwest District Office 555 -- -------------------------------------- <br />C3 <br />r <br />0 Breeze Street <br />-- <br /> <br />-------------------------------------- <br /> c P.O. Box 1094 <br /> Craig, CO 81626 <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. Signature <br />CR&t?? <br />S L-? <br />X em e 7R ' & ? Agent <br />? Addressee <br />B. Received by (Printed Name) <br />Cfip& !h. SP414 lv C./ i t of Dervery <br />?f' ? j <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Colorado State Land Board I <br />Northwest District Office 555 <br />Breeze Street <br />P.O. Box 1094 3 SS{e1C Type <br />Craig, CO 81626 ertified mail ? Express Mail <br />g, ? egistered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7006 3450 0000 4880 2302 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540