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UNITED STATES POSTAL SERVICE <br />d 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 return 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 Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />W <br />cc <br />a <br />z <br />t •- <br />W <br />3. Article Addressed to: <br />Routt County Commissioners <br />County Commissioner <br />P.O. Box 773598 <br />Steamboat Springs, CO ; 80477 <br />5. Received By: (Print Name) <br />6. Signature: Ad� • '• <br />w <br />PS Form •=�' ; �c per 1994 <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 119111 <br />X Zooto -W1 -0 <br />(d -t <br />\°oS 'tog - �� <br />y„..7.....99 aac-ni <br />¥- ZOO - ZbS -oF� <br />S L- <br />• Print your name, address, and ZIP Code in "- <br />KAG/AHH <br />Partial Release <br />Spec <br />X w2EI) -09 <br />1 °13 - ao5 - c <br />= -4,9 1 ,40 -ao -flo <br />y� 0°1 . Z fit— b - <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 5700 6410 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Adtlres ( if requested <br />and fee is paid) <br />Domestic Return Receipt <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />0 <br />C) <br />rn <br />C) <br />