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d SENDER: <br />:0 ■ Complete items 1 and/or 2 for additional services. <br />vi ■ Complete items 3, 4a, and 4b. <br />a) • Print your name and address on the reverse of this form so that we can return this <br />a <br />16 card to you. <br />d • •Attach this form to the front of the mailpiece, or on the back if space does not <br />le permit. <br />•Write 'Return Receipt Requested' on the mailpiece below the article number. <br />r •The Return Receipt will show to whom the article was delivered and the date <br />c delivered. <br />0 <br />3. Article Addressed to: <br />d <br />E Mr. Mark Davis <br />a, Department of Natural Resources <br />State Board of Land Commissioners <br />c <br />cc <br />1127 Sherman Street, Suite 300 <br />a Denver, CO 80203 <br />cc <br />• 5. Receiv d By: (Prin Name <br />N- 6. Signature: (Add essee or Agent) <br />>, X <br />PS Fomf December 1994 <br />'kdt <br />to <br />‘ftav _ a gioki <br />eon <br />3L-1 <br />7008 1140 0004 5015 299E <br />- <br />I also wish to receive the <br />following services (for an <br />extra fee): ai • <br />1. ❑ Addressee's Address •t <br />2. ❑ Restricted Delivery g <br />Consult postmaster for fee. <br />d <br />cc <br />E <br />O Retum Receipt for Merchandise 0 COD <br />0 <br />4b. Service Ty�u[IV �q 2 4 2 1 m <br />❑ Registered �'irtified 1. <br />El Express Mail ❑ Insured 5 • <br />0 <br />0 <br />6 -;', <br />0 <br />Y • <br />C <br />0 <br />7. Date of Delivery <br />8. Addressee's Address (Only ifAquested <br />and fee is paid) <br />Domestic Return Receipt <br />t <br />F <br />