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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 />III <br />esired—I■ Rt'irit your name and address on the reverse <br />se 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 />P.d. 3X 1 -HO <br />n'ot C4' f, Std 577c <br />2. Article Number <br />(Transfer from service label) <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature n <br />X <br />WI AP <br />0 Agent <br />0 Addressee <br />B. Rev 'by�Prda3-------C. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below. 0 No <br />3 Se = Type <br />Certified Mail 0 Priority Mai! Express' <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 0150 0000 9138 7987 <br />UNITED STATES POSTAL SERVICE <br />• Sender: Please print your na <br />Oalwrit <br />address(and ZIP+n 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 Spec j,L <br />File MI-1181-ok <br />Certified Mail Provides: Spec. <br />■ A mailing receipt File #-- /,� <1�,,,,®r p <br />• A unique identifier for your mailpiece 4/ 1 b <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />• Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®. <br />■ Certified Mail is not available for any class of international mail. <br />■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br />valuables, please consider Insured or Registered Mail. <br />• For an additional fee, a Return Receipt may be requested to provide proof of <br />delivery. To obtain Return Receipt service, please complete and attach a Return <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is <br />required <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery". <br />■ If a postmark on the Certified Mail receipt is desired, please present the arti- <br />cle at the post office for postmarking. If a postmark on the Certified Mail <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT: Save this receipt and presentAi when r ivi inquiry. <br />orm$i) <br />PS F,(1ipuylsifgeheWStS -090 P <br />D <br />u7 <br />D <br />ra <br />D <br />r` <br />riitiiilI!i`lliltr111ti111111lttiiilriiijrlf1r <br />.S. Postal Servicer. <br />ERTIFIED MAILTM RECEIPT <br />omestic Mail Only; No Insurance Coverage Provided) <br />r delivery information visit our website at www.usps.come <br />Re <br />tors <br />strk <br />(Endors <br />i <br />Postage,' $ <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Ya <br />i=t <br />Totals Total Postage & Fees: <br />E02A <br />Sent To <br />Street, Apt No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />�•�• K LLfv <br />PS Form 3800, August 200E <br />See Reverse for Instructions <br />