2009-11-24_REVISION - C1984067 ‎(2)‎

• Permit No: C1984067
• IBM Index Class Name: REVISION
• Doc Date: 11/24/2009
• Doc Name: Certified Mail Receipt ‎(Termination of Jurisdiction)‎
• To: Landowners
• Type & Sequence: SL1
• Email Name: TAK
• Media Type: D
• Archive: No

• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Colorado Division of Wildlife'
151 E. 16th St.
Durango, CO 81301
.'L4
A. S` atu _ r —
� Agent
L . ffo {eS
Name) I C. Date of Delivery
D. delivery address different from item 1? ❑ Yes
if YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ R Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 0390 0002 8281 9011
(rransfer from service labeo 102595 -02 -M -1540
Ps Form 3811, February 2004 Domestic Return Receipt
Po stal
ra
CERTIFIED
MAILT. RECEIPT
o
(Do mestic
Mail Only, No Insurance Coverage
Provided)
Cr
co
US
ti
- AL
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CO
ru
$0.44
Postage:
$2.80
M
Re
Certified Fee:
-$2.30
( Endors
Return Receipt Fee:
O
m
Restri
( Endors
e & Fees:
Total postage
6$5.54
°
Total F
[C=3
Sent
of Wildlife'_________
°
Colorado Division
orP°_
. 16th St.
OW, `
L
ngo, CO 81301
EW
• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Colorado Division of Wildlife'
151 E. 16th St.
Durango, CO 81301
.'L4
A. S` atu _ r —
� Agent
L . ffo {eS
Name) I C. Date of Delivery
D. delivery address different from item 1? ❑ Yes
if YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ R Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 0390 0002 8281 9011
(rransfer from service labeo 102595 -02 -M -1540
Ps Form 3811, February 2004 Domestic Return Receipt