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$ENDER' COMPLETE THIS SECTION <br />■ Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />s 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 />Mr. Russell A. Larsen <br />Grand Junction Pipe & Supply Co. <br />556 Struthers Ave. <br />— Grand Junction, CO 81501-3826 <br />COMPLETE THIS SECTION ON OELlVERY. <br />A <br />Signature <br />B. Received byDlated <br />Iy: <br />D. Is delivery edress differem item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />. 0 Agent <br />Address, <br />ate of Delive <br />3. Service Type <br />0 Certified Mail' <br />0 Registered <br />❑ Insured Mail <br />0 Priority Mail Express" <br />0 Return Receipt for Merchandh <br />0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, July 2013 <br />7014 2120 0001 7869 7490 <br />UNITED STATES POSTAL SERVICE <br />Domestic Return Receipt <br />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 <br />Spec <br />File vvtKrili.S3 <br />