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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 /> Arturo Vasquez <br /> O&A Stone LLC <br /> P.O. Box 2526 <br /> Longmont, CO 80501 <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑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 /> Arturo Vasquez <br /> O&A Stone LLC <br /> P.O. Box 2526 3. Service Type <br /> Longmont, CO 80501 ❑Certified Mail® ❑Priority Mail Express' <br /> M-1994-121 ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7885 4 619 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> CERTIFIED MAIL' RECEIPT <br /> U.S. POSW service' <br /> r- Cr Domestic Mail Only <br /> 17 <br /> �n 'n - <br /> Co Co $ <br /> Cam`- co Postage <br /> — Certlfled Fee Postmark <br /> r-R ra <br /> �— ® 0 Return Receipt Fee Here <br /> ..�---- <br /> a O (Endorsement Required) <br /> Restricted Delivery Fee <br /> .� C3 C3 (Endorsement Required) <br /> �--= ru ru <br /> —on r� r-j Total Postage&Fees <br /> ru N Arturo Vasquez <br /> .__. Lto ----_-_-- O&A Stone LLvC3 a ,o a P.O. Box 2526 - <br /> r, r. o. mont, CO80501"ziP+a Long <br /> M-1994-121 <br />