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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 />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 Article Addressed to: <br />Mr. Larry Perino <br />Sunnyside Gold Corp <br />P 0 Box 177 <br />Silverton, CO 81433 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Sig ture <br />X�. <br />B. Received by (Printed Name) <br />❑ Agent <br />❑ Address <br />C. Date of Dehve <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />Cif Certified Mail' 0 Priority Mail Express`" <br />❑ Registered 0 Return Receipt for Merchandr. <br />❑ Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2 Article Number <br />(Transfer from service labeq <br />PS Form 3811, July 2013 <br />UNITED STATES POSTAL SERVICE <br />7014 2120 0001 7871 0731 <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 80203-2243 vVl iv'et / <br />Spec. L"6 -1C <br />File MI/ 9-,7i; <br />fIIIII1',Iiiir1I11ilil11I1iEi,il1I��r�I��lllll��lii�ii1I'll'11M <br />