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SENDER: COMPLETE THIS SECTION <br />• Complete items 1, 2, and 3. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />IN Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />State of Colorado <br />Div. Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Attn: Mr Peter Hays <br />1111111111111111111111111111111111111111111111 <br />9590 9403 0226 5146 2754 45 <br />COMPLETE THIS SECTION ON DELIVERY <br />`fi <br />r <br />.ti <br />B. Received by (Printed Name) <br />$,• ti <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: ® No <br />0 Agent <br />0 Ad • ressee <br />C. Date of Delivery <br />2. Article, Nlimher /Transfer from service label) <br />7015 0640 0007 5449 4776 <br />3. Service Type O Priority Mall Express® <br />0 Adult Signature 0 Registered MailrM <br />0 Adult Signature Restricted Delivery 0 Registered Mall Restricted <br />O Certified Mall®Deilvay <br />0 Receipt for <br />0 Certified Mali Restricted Delivery <br />0 Collect on Delivery Merchandise <br />0 Collect on Delivery Restricted Delivery 0 Signature Conflrmationr <br />O Insured Mail 0 Signature Confirmation <br />0 Insured Mail Restricted Delivery Restricted Delivery <br />(over $500) <br />PS Form 3811, April 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />