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5. Received By: (Print Name) <br />c 6. Signaturq 4Atidress or nt) <br />>' X <br />PS Form 3811, December 1994 <br />l I} t 1 I i ( Irt(rkil� }il(rrr <br />"' r. i.,r iirr(r '( '� <br />UNITED STATES POS11,4� $� <br />• Print your name, address, <br />State of Colorado PQR <br />Department of Natural Resources <br />Division of Reclamation, Mint ,6i <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />3. Article Addressed to: <br />Mr. Daniel Bear <br />o 6 War Emblem Lance <br />ck Springs, WY 82901 <br />first-Class Mail <br />ostage & Fees Paid <br />USPS <br />Permit No. G -10 <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'Retum 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 />ode in this box • <br />Al (310 <br />te sa teri <br />Notice Formal Public Hearing <br />C198 <br />I } il l i FSl i } rr #rit } }f }i��rlit;i <br />7009 2820 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />7. Date of Delive <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 />0003 5701 2398 <br />/3 <br />DJ. Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />