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;; SENDER: <br />•Complete items 1 and/or 2 for additional services. <br />' ai •Complete items 3, 4a, and 4b. <br />H • Print your name and address on the reverse of this form so that we can retum this <br />d card to you. <br />•Attach this form to the front of the mailpiece, or on the back if space does not <br />;v permit. <br />at •Write'Retum Receipt Requested' on the mailpiece below the article number. <br />•The Retum Receipt will show to whom the article was delivered and the date <br />• delivered. <br />0 <br />3. Article Addressed to: <br />d <br />c . <br />E <br />0 <br />cn <br />rn <br />W <br />CC <br />c <br />c <br />cc <br />5. By: (Print Nane) <br />cc <br />ar Davis <br />Department of Natural Resources <br />State Board of Land Commissioners <br />1127 Sherman Street, Suite 300 <br />Denver, Colorado 80203 <br />P S F 3811, December 1994 <br />g 6. Signatur • Addressee ent <br />X C1r <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7009 2820 0003 5700 5673 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />7. Date of Delivery <br />❑ Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />atcisi-oro <br />SL-1 <br />slovir <br />Domestic Return Receipt <br />d <br />rn <br />a <br />0 <br />0 <br />CC <br />o) <br />c <br />7 <br />0 <br />3 <br />0 <br />0 <br />0 <br />H <br />