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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />Boeived by (P rated Na <br />D. Is delivery address <br />Agent <br />x ° " e `Q • dressee <br />e nrery a ress different i tem 1? "© Yes <br />If YES, enter delivery addre below:; 0 No +, <br />4. Restricted Delivery? (Extra Fee) <br />C. Date of Deel <br />- <br />0 Yes <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 />Jim Boyd Van 4 EPP <br />San Miguel Basin Conservation District <br />40835 Colorado State Highway 145 <br />Norwood. CO 81432 <br />2. Article;Number. <br />(Transfer from service fat be /) 11 <br />PS Form 3811, February 2004 <br />Nice Type <br />ertified Mail <br />0 Registered <br />❑ Insured Mail <br />716 o 1 V 1 163d 4 00011,i 5j51 645:1 <br />Domestic Return Receipt <br />Express Mail <br />O Return Receipt for Merchandise <br />0 C.O.D. <br />. - 02 -M - 1540 <br />rY <br />