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DELIVERY <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete <br /> A. Signature ggent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse C. Date of Delivery <br /> so that we can return the card to you. B. Received by(Printed Name) <br /> ■ Attach this card to the back of the mailplece, <br /> or on the front if space permits. <br /> 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 /> OMbertified Mail ❑Express Mall <br /> 0 Registered XX Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> ----------------- <br /> 2. Article Number 7011 2970 0002 2028 3398 <br /> (Transfer from service labeQ <br /> PS Form 3811,February 2004 <br /> Domestic Return Receipt 1o25s5-o2-M-154o� <br /> �W�_ 6tz'� n�X e1� <br /> L�re�� � <br />