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COMPLErE rHis SEcriON • • ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. „ �5 ❑Agent <br /> ■ Print your name and address on the reverse �`1 Address <br /> so that we can return the card to you. B.,Received by(Printed ) C.16ateof Delive <br /> s Attach this card to the back of the mailpiece, ( _ `/ <br /> or on the front if space permits. 1 <br /> 1. Article Addressed to: <br /> D. Is delivery Wdress differen m item 1? ❑Yes <br /> ------.�-- If YES,enter delivery address below: ❑No <br /> Mr. Russell A. Larsen <br /> Grand Junction Pipe & Supply Co. <br /> 556 Struthers Ave. <br /> S. Service Type <br /> Grand Junction, CO 81501-3826 ❑Certified Mailm ❑Priority Mail Express" <br /> ❑ Registered ❑Return Receipt for Merchandh <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7869 7490 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box" <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation, Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 t�L I Spec 'J4'1�1 <br /> File mK?Tr-'S3 <br />