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CERTIFIED © IPT SENDER: COMPLETE THIS SECTION • • ON <br /> DomesticOnly ■ Complete items 1,2,and 3.Also complete A. Signature �r <br /> ° item 4 if Restricted Delivery is desired. ,�;! ElAgent <br /> ] �For delivery � ' , r visit our website at gym„„ ■ Print your name and address on the reverse X v ❑Addressee <br /> w so that we can return the card to you. B. Received by nted Namepds+� Date of Delivery <br /> r ■ Attach this card to the back of the mailpiece, <br /> ° Post. rs or on the front if space permits. <br /> ° Postage: $0.675 1. Article Addressed to: D. Isdeliv addre sdifferentfromite 1? Yes <br /> g <br /> Certified Fee: $3.300 — If YE enter delivery address below: ❑ o <br /> trnarl; <br /> Return Receipti ee: $2.700 ere rU` <br /> Daniel J.Gaudreautt <br /> J l`� "" `� 6.675 and Barbara J.Gaudreautt O <br /> u Total Postage an -Feean � $ 11 <br /> °� P.O.Box 6s� Elizabeth,CO 80107 <br /> w 3. Service eLi Sent To 11 Certified es <br /> streets 4pr.No:, -------- ❑Registered <br /> Mail I ❑Co ' try <br /> t eipt for Merchandise <br /> a -------------- - ------- Daniel J.Gaudreautt __________ <br /> or Po Box No. and Barbara J.Gaudreaul Collect on Delivery <br /> City State,ZIP+4 <br /> P.O.Box 69 4. Restricted Delivery?(Extra Fee) El Yes <br /> Elizabeth,CO 80107 <br /> 2. Article Number 7 014 212 0 0001 8040 0088 <br /> PS Form "' ' (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> PostalUNITED STATES S,Q �,,5`ERVICE First-Class Mail <br /> CERTIFIED ° `"�` �`'t `' Postage&Fees Paid <br /> Permit No.G-10 <br /> t7 <br /> C3 • Sender: Please print your name, address, and ZIP+4° in this box* <br /> o <br /> O Zo . -$ <br /> Postage: $0.675 <br /> o Certified Fee: '' $3.300 tmark <br /> State of CO - Dept- of Natural Resources <br /> o Return Receipt: ere ee: $2.700 Division of Reclamation, Mining &Safety <br /> MINERALS <br /> o Total Postage and Fees $6.675 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 M-2006-081 <br /> ru w _sent To 34130000 30-day Grace letter <br /> _ TOD WHE AJW <br /> srreeera 4pi.No.; Daniel J.Gaudreautt __________________ <br /> or Po Box No. and Barbara J.Gaudreautt <br /> r` ------------ ------------ P.O.Box 69 ----------------- <br /> city;stare,zIP+a <br /> Elizabeth,CO 80107 <br /> off rrll,I,'I'1Jl)r i1 fit Ili I1'jr'1„lJf111lilll <br />