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I U.S. Postal <br />, CERTIFIED MAILT. RECEIPT <br />u7 (Domestic Only; No Insurance Coverage Provided) <br />m <br />$0.44 . <br />m postage: $2.80 s <br />?- Certified Fee: $2,30 <br />M Return Receipt Fee: <br />? /?? $?4 tmark - <br />C3° Total Postage & Fees: Here <br />nesrncted Delivery Fee <br />, <br />p (Endorsement Required) Jr <br />?- j?'?5 < a <br />Total Postage & Fees" <br />$ xr <br />? enr ro <br />Colorado State Land Board <br />C3 LStreet, Norwest District Office -------------------------------- <br />555 Breeze Street <br />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 />X A7. <br />S. Received by (Printed Name) I C. Date of Delivery <br />D. Is delivery address different from item 17 ? Yes <br />If YES, enter delivery address below: ? No <br />Colorado State Land Board <br />Norwest District Office <br />555 Breeze Street <br />P.O. Box 1094 <br />Craig, CO 81626 3. ice Type <br /> LjU Certified Mail ? Express Mail <br /> ? Registered ? Retum Receipt for Merchandise <br />- - ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? YES <br />2. Article Number 7008 1140 0003 4437 1359 <br />(Transfer from service labeg <br />PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540