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COLORADO <br />Division of Reclamation, <br />Mining and Safety <br />Department of Natural Resources <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2243 <br />341300000 <br />SENDER: COMPLETE THIS SECTION <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 />s Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Scott Brennise <br />4B Land & Livestock LLC <br />5801 Highway 394 <br />Craig, CO 81625 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />B. Received by (Printed Name) <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below. 0 No <br />3. Sorvice Type <br />Certified Mail0 Priority Mail Express - <br />0 Registered 0 Return Receipt for Merchandise <br />O Insured ma 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Nurnber <br />(Transfer from service label) <br />7014 0150 0000 9138 3873 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />M m <br />N N <br />�O cD <br />m <br />0000 9138 <br />co <br />m <br />Er <br />rR <br />D <br />D <br />D <br />D D <br />U1 LIJ <br />ri <br />D D <br />r� r� <br />D D <br />N N <br />U.S. Postal ServiceTM <br />CERTIFIED MAILTM, RECEIPT <br />(Domestic Mall Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.come <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />Scott Brenntse <br />4B Land & Livestock LLC <br />5801 Highway 394 <br />Crag, CO 81625 <br />PS Form 3800, August 2006 <br />Scott Brennise <br />4B Land & Livestock LLC <br />5801 Highway 394 <br />Craig, CO 81625 <br />Postmark <br />Here <br />See Reverse for Instructions <br />