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d SENDER: <br />•Complete items 1 and/or 2 for additional services. <br />ai ■ Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we <br />card to you. <br />•Attach this form to the front of the mailpiece, or on the back if space <br />i permit. <br />y ■ Write'Return Receipt Requested' on the mailpiece below the article <br />$ ■ The Return Receipt will show to whom the article was delivered and <br />c delivered. <br />0 <br />3. Article Addressed to: <br />d <br />0. <br />E <br />0 <br />0 <br />W <br />cc <br />0 <br />G <br />Z <br />UNITED STATES POSTAL SERVICE <br />Routt County Commissioners <br />County Commissioner <br />P.O. Box 773598 <br />Steamboat Springs, CO ; 80477 <br />5. Received By: (Print Name) <br />� :z * 1994 <br />5 <br />• Print your name, address, and ZIP Code in <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 8 11911 " <br />Zoo - '22:1 -O <br />Y.- \C18'J -\lo -1Z <br />Qo g a9 <br />Y- 2. 0 0 3- 20 S-o� <br />can return this <br />does not <br />number. <br />the date <br />Spec <br />1O\g3- aos -o3 <br />0°1 <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 0003 5700 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Address�s AdCZs ( if requested <br />and fee is paid) <br />6410 <br />� <br />Domestic Return Receipt <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />0 <br />U) <br />0. <br />C) <br />d <br />CC <br />cn <br />y <br />0 <br />0 <br />C <br />1 <br />