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1 — <br />W <br />W <br />cc <br />G <br />cc <br />z <br />UNITED STATES POSTAL SERVICE <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can retum this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write'Return 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 />3. Article Addressed to: <br />5. Received By: (Print Name) <br />6. Signature: (Add <br />X <br />PS Form <br />Routt County Commissioners <br />County Commissioner <br />P.O. Box 773598 <br />Steamboat Springs, CO 80477 <br />WA re.W_ <br />1994 <br />• Print your name, address, and ZIP Code in ` "k" " "' <br />KAG/AHH <br />Partial Release <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 8fl' "" <br />toot <br />Y.- 1�1�3 - Q - ( Z, <br />8 aact-o <br />1C -Zoo3 - fit -og <br />Spec <br />2tbt.{_Zc, -09 <br />1P \O �.O5 —o3 <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 6410 <br />V .O - oc-o <br />-�2 n -. <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />7. Date of Delive pr� <br />8. Addre s Adlft`ess (Onl if requested <br />and fee is paid) <br />?\1 - 211 -0 <br />) <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />0 <br />n <br />0 <br />Domestic Return Receipt <br />