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III IIIIIIIIIIIII III <br />999 <br />SENDER: I also wish to receive the <br />• Comfllete items 1 and/or 2 for additional servicec. <br />• ~~mplete items 3, and 4a & b. following services (for an extra <br />• t your name and address on the reverse of this form so feat; <br />tha~-sue can return this card to you. <br />• Attach this form to the front of the mailpiece, or on the ~ ~ ^ Addressee's Address <br />back if space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece next to 2. ^ Restricted Delivery <br />the article number. Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number <br />DEPARTMENT OF HEALTH <br />WATER QUALITY CONTROL <br />4210 EAST 11TH AVENUE <br />DENVER CO 80220 <br />(Addressee) <br />6. Signature IAgentl <br />PS n <br />~i <br />^ Registered ^ Insured <br />® Certifi~ ^ COD <br />^ Express Mail ^ Return <br /> Mercha <br />7. Date ofrDd~ry~7 19~9~ <br />and fee is paid) <br />for <br />AU.a. Qrb: tY7U-273-061 <br />RETURN RECEIPT <br />