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COMPLETE •N COMPLETE THIS SECTIONON © RECEIPT <br /> Domestic Mail Only <br /> a Complete items 1,2,and 3.Also complete A. Signature r-q <br /> item 4 if Restricted Delivery is desired. r Agent r ui , <br /> It Print your name and address on the reverse X = ee o .� � , <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of very p �"' �"' •:7 <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits, p Postage s <br /> rlsdelivery address different from ite 1? ❑Yes coI. Article Addressed to: enter delivery address below: ❑No CertlfiedFee 7 ..•l��l�� <br /> ��o ZFnark i <br /> O Return Receipt Fee �Q Here <br /> Ar. William Van Valkenburg p (Endorsement Required) <br /> 0 <br /> Jan Valkenburg Cattle Company, LLC Res MctedDeliveryFee Zj G? <br /> (Endorsement Required) �' <br /> 12353 Hwy 14 ru$ C <br /> ,� Total Postage&Fees C <br /> Walden, CO 80480 3. Service Type ru <br /> ,I Certified Maile ❑Priority Mail Express' --I s< Mr. William Van Valkenburg <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery p of Van Valkenburg Cattle Company, LLC <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes C 12353 Hwy 14 <br /> ?. Article Number 7014 2120 0001 8040 0514 Walden, CO 80480 <br /> (Transfer from service label) <br /> IS Form 3811,July 2013 Domestic Return Receipt <br /> U.S. Postal Service TM UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> CERTIFIED ° RECEIPT USPS <br /> Domestic Mail Only Permit No.G-10 <br /> ra <br /> o ' . '� _ • Sender: Please print your name, address, and ZIP+4®in this box* <br /> o <br /> C' <br /> coPostage a State of Colorado <br /> Certified Fee �� �6 <br /> ,� Department of Natural Resources <br /> O Return Receipt Fee i-jark <br /> p (Endorsement Required) S�, Here Division of Reclamation,Mining&Safety <br /> Restricted Delivery Fee 1j � 1313 Sherman Street, Suite 215 <br /> O (Endorsement Required) �} <br /> Ft`2��- Denver,CO 80203 ,w(,r Spec P* <br /> ,-q Total Postage&Fees <br /> $ Fileru <br /> m fl(�v33 <br /> "I- S' Mr. William Van Valkenburg <br /> o sl Van Valkenburg Cattle Company, LLC <br /> 01 <br /> '` 12353 Hwy 14 IIIIIIIIIIIII�IIIIIIIIIll�llllul�llllllllllrll,ll����11��11�lill <br /> Walden, CO 80480 <br />