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Certified <br />SUBJECT: <br />PROJECT: <br />DATE SEN <br />REMARKS: <br />Mail Receipt <br />LAND OWNER WITHIN 200 FEET CERTIFIED MAIL & RETURN RECEIPT <br />COLORADO MOSS ROCK M-2011-039 <br />T: DECEMBER 29, 2011 <br />Postal:. Service <br />IED !M, FIECEAPT <br />4, IL • - - Co PrOttide0 <br />tag ; MitiranCe op <br />min Odallattoutwo' ittliww.u4ps.como . , <br />N <br />rn <br />rn <br />rq <br />nJ <br />rrl <br />■•- iwr, it h " <br />(Cr.1 1•I <br />tr Ur Fou <br />• <br />Tr PeVag E, FCC5 <br />17I <br />. ....... CURTIS WARREN <br />SENDER: COMPLETE THIS SECTION <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 retum 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 />CURTIS WARREN B <br />506 LA VISTA RD <br />PUEBLO CO 81005-2625 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />tn 506 LA VISTA RD <br />• PuFBI, 0 00 81005-2625 <br />8 <br />A. Signature <br />29 <br />7009 2820 0004 3271 3370 <br />COMPLETE THIS SECTION ON DELIVERY <br />0 Agent <br />12'Addressee <br />eceived by ( Printed C. 9ate of Delivery <br />Xid 9- <br />.-8 delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service 'We <br />CI Certified Mall 0 Express Mall <br />0 Registered 0 Rotum Receipt for Merchandise <br />0 Insured Mall 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) Cl Yes <br />Domestic Rotum Receipt 102595 <br />