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- SENDER: COMPLETE THIS SECTIOiV <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 />in Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Sign ture <br />X <br />15.1\i 1 • (Printed Name) <br />A gent <br />❑ Addressee <br />C. Date of Delivery <br />D. Is delivery address different <br />If YES, enter delivery add <br />• <br />mr <br />l- <br />z <br />i i t& <br />,.a <br />r-/ <br />o- <br />C L. <br />1. Article Addressed to: <br />rU <br />o Southeast Colorado Power Association <br />(Enc 901 W Third Street <br />La Junta, CO 81050 <br />M1 (m <br />0 <br />IlJ TO, <br />1 - 3 l I re <br />2. Article Number <br />r`" <br />J or Po (Transfer fromservice tebe0 <br />cry ` PS Form 3811, February 2004 <br />i:P orm,seee <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DEL /VERY <br />B. Received by ( Printed Name) <br />❑ Agent <br />❑ Addressee <br />Retu'' <br />(Endorsors <br />Rostr cto <br />(Endorsor <br />John Martin Reservoir State Park <br />30703 Rd 24 <br />HA Hasty, CO 81044 <br />Total Pi <br />r To <br />. u vullta t,.;U 81050 <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 />Article Addressed to: <br />2. Article Number <br />(Transfer from service babe° <br />PS Form 3811, February 2004 <br />strnot,Apt. John Martin Reservoir State Park <br />or PO Box <br />Gay, state, 30703 Rd 24 <br />Hasty, CO 81044 <br />4. Restricted Delivery? (Extra Fee) <br />_ _ 1 <br />7011 2970 0002 2799 2316 <br />Domestic Retum Receipt <br />3. Service Type <br />cortrnod Malt <br />ED Registered <br />❑ Insured Mall <br />rve <br />D. Is delivery address different from item 1'? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />nwA1e <br />4. Restricted Delivery? (Extra Fee) <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mali ❑ C.O.D. <br />7011 2970 0002 2799 2347 <br />Domestic Retum Receipt <br />%SAS • <br />ocpr+osa_'!� <br />CI Return Receipt for Morchandiso <br />❑ C.O.D. <br />0 Yes <br />102595 - 02•M - 1540 <br />C. Date of Delivery <br />❑ Yes <br />10259502- M-1540 <br />