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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,Co 80203-2243 <br /> 341300000 <br /> Rudolph Fontanari <br /> 3316 E 3/4 Rd Rt 1 <br /> Clifton, CO 81520 <br /> COMPLETE • COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Rudolph Fontanari <br /> 3316 E 3/4 Rd Rt 1 3. Service Type <br /> Clifton, CO 81520 ❑Certified Mail" ❑ Priority Mail Express" <br /> M-1996-076 ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 4633 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAILP RECEIPT <br /> rn Rl Domestic Only <br /> M m <br /> Ln Ln OFFICIAL USE <br /> M— toco <br /> co Postage $ <br /> _ r 9 a certified Fee <br /> C3 C:3 Return Receipt Fee Postmark <br /> 1--3 0 (Endorsement Required) Here <br /> O O <br /> Restricted Delivery Fee <br /> p Q (Endorsement Required) <br /> r-u I-Li <br /> Total Postage&Fees <br /> = � senrro Rudolph Fontanari <br /> r=1 r-1 - 3316 E 3/4 Rd Rt 1------------------------- <br /> �� C3 p Street 8 Apt No.," <br /> I1 tti or Po Box No. Clifton, CO 81520 <br /> City State,ZI " ------------------------- <br /> Pa4 <br /> M-1996-076 <br /> PS Form :•• July 2014 <br />