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-1 0 <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete 7Recelved <br /> ❑Agent <br /> item 4 if Restricted Delivery Is desired. ❑Addressee <br /> ■ Print your name and address on the reverseso that we can return the card to you. (Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front If space permits. D.Is delivery address different from Item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> COLORADO DIVISION OF <br /> RECLAMATION MINING & SAFETY <br /> 1313 SHERMAN ST ROOM 215 <br /> DENVER CO 80203 <br /> 3. Service Type <br /> MCertified Mail ❑Express Mail <br /> ❑Registered XX Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7011 2970 0002 2028 3398 <br /> (Transfer from service tabeQ <br /> Domestic Rot <br /> Receipt 102595.02-M-1540 I <br /> PS Form 3811,February 2004 1 <br />