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? • <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> CERTIFIED MAIL@ RECEIPT <br /> oDomestic Mail Only ■ Complete items 1,2,and 3.Also complete A.—Siftnat4re r" <br /> n item 4 if Restricted Delivery is desired. .X Cliffg�1 ent <br /> 0 Addressee <br /> r ■ Print your name and address on the reverse -� <br /> OI so that we can return the card to you. B. Receiv y(Printed NamW C.,Pjate of Delivery FFICIAL U S D ■ Attach this card to the back of the mailpiece, S <br /> D <br /> D or on the front if space permits. <br /> Postage: $0.465 D. Is delivery address different from item 1? ❑Yes <br /> Certified Fee: 1. Article Addressed to: If YES,enter delivery address below: El No <br /> a $3.300 <br /> (EnReturn Receipt Fee: $2.700 <br /> Rt Ralph Martinez <br /> :3 (En Total Postage & Fees: $6.465 Southway Construction Company, Inc. <br /> a Total Postage&Fees 117 White Pine Dr <br /> u 1 3. Service Type <br /> Alamosa, CO 81101 ❑Certified Maila ❑Priority Mail Express' <br /> ,. r-To Ralph Martinez M-1981-153 <br /> Southway Construction Company, Inc._ ❑ Registered ❑ Return Receipt for Merchandise <br /> saeefadpi-No: - - ❑ Insured Mail ❑Collect on Delivery <br /> or PO Box Na 117 White Pine Dr <br /> _ ____ _ 4. Restricted Delivery?(Extra Fee) CI Yes <br /> cm srare,zlw_. Alamosa, CO 81101 <br /> M-1981-153 2. Article Number 7 014 212 0 0 01 7885 4. <br /> Mo (Transfer from service label) <br /> S Form 3811,July 2013 Domestic Return Receipt <br /> ' ° UNITED STATES T RVICE <br /> Service- <br /> Cr �Q�� First-Class Mail <br /> CO .. . Postage&Fees Paid <br /> „•1 31.AL '16 LISPS <br /> = Permit No.G-10 <br /> C • Sender: Please print your name, address, and ZIP+4®in this box* <br /> Postage: r, $0.465 <br /> Certified Fee: $3.300 <br /> o (En Receipt Fee: $2.700 STATE OF COLORADO <br /> C3 Rc DEPARTMENT OF NATURAL RESOURCES <br /> C3 (En Total Postage & Fees: $6.465 DIVISION OF RECLAMATION, MINING &SAFETY <br /> nj �1313 SHERMAN STREET SUITE 215 <br /> r 1 Total Postage&Fees I$ <br /> ry <br /> �- senrro Ralph Martinez DENVER, CO 80203-2273 <br /> ,-a _ ______________. Southway Construction Company, Inc._ Spec. <br /> p smear 2 apr.iVo. File# <br /> r%- or PO Box No. 117 White Pine Dr <br /> cirysi8ia:ziP+: Alamosa, CO 81101 <br /> M-1981-153 <br /> •22436S III fill <br />