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SENDER. COMPLETE THIS:SECTION <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />e Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Paul Geffncr <br />9 1.Marin Ave. <br />Sausalito. CA 94965 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signat e <br />x SI L _` •`Uw <br />B. Received by (printed Name) <br />❑ Agent <br />❑ Address <br />C. Date of Delive <br />D. Is delivery address different from item 1? Yes <br />If YES, Enter delivery address below: 0 No <br />■ <br />3. Service Type <br />❑ Certified Mail? 0 Priority Mail Express'" <br />❑ Registered 0 Return Receipt for Merchandi <br />❑ Insured Mail 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 8040 2433 <br />UNITED STATES" STAL�i2VICE <br />..7 F:: t:1. <br />1: 10 r3 t <br />Domestic Return Receipt <br />First -Class Mail <br />Postage & Fees Pad <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, Room 215 <br />Denver, CO 80203 <br />Spec TG 1- <br />File f-Ii`If` <br />111'11111,11111'111"111'1„11,1,111111'111111111111111,11111'11} <br />