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c IqN os? so <br /> <br />¦ Complete items 1, 2, and 3. Also comp <br />item fete <br />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 />Colorado State Land Board <br />Northwest District Office <br />555- Breeze St. <br />P.O. Box 1094 <br />Craig, Colorado 81626 <br />2. Article Number--- <br />M/Onsfer hom service labeq <br />PS Form 3811, February 2004 <br />7008 3230 0002-7253 1692 <br />Domestic Retum Receipt -- <br />'f(6R&h?6 . <br />VM. <br />L-e ffte <br />?trn, sal <br />A Slgnature <br />X X ? <br />nn n_. <br />Agent <br />13 B. Recelved Dy (Printed Name) <br />C. Date of Delivery <br />D. Isdelive - - cNV <br />ry address drfferent from Rem j ?4' <br />? Yes <br />If YES, enter delivery address below: <br />? No <br />RECENED <br />2P 01 ZO <br />a enftd lion a? t??clami9tit <br />? Registered , <br />13 Insured Mail R TWorMerchandisq <br />? C.O.D. <br />4. Restricted Delivery/) ,ftF <br />? Yes <br />102595.02-M-1540 <br />I