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' • • COMPLETE THIS SECTION ON DELIVERY <br /> .. • • <br /> �j ■ Complete items 1,2,and 3.Also complete A. Signature <br /> • item 4 if Restricted Delivery is desired. X �- t Agent <br /> 0 F• F t C •[ A L 1 � S C ■ Print your name and address on the reverse 5 p�C ressee <br /> 7 ��*++ �.r 0 11 V +i. G SO that We can return the card to you. B. a eived by(Pri ed Name) C. D e of elivery <br /> ■ Attach this card to the back of the mailpiece,3 Postage $ or on the front if space permits. 10 C J e <br /> Postage: $.0.465 D. Is delivery address different from item 17 El Yes <br /> D g r C 1. Article Addressed to: <br /> 3 (End Certified Fee: ;� $3,.300 _ _ _ _ If YES,enter delivery address below: ❑ No <br /> Return Receipt Fees cNo $2 700 <br /> Rey ,� N f Mike A. Ferrero <br /> 3 (End c7 ,/ 34320 Hwy. 12 <br /> a TotTotal Postage & Fees: n $6.465 Trinidad, CO 81082 <br /> 3. Service Type <br /> t sent To ❑Certified Mail' ❑ Priority Mail Express'" <br /> j 3°iresr,A t.1%., Mike A. Ferrero - ❑Registered ❑Return Receipt for Merchandise <br /> or Po sox No. 34320 Hwy. 12 ❑Insured Mail El Collect on Delivery <br /> .......................... <br /> Ciry,State,Z/P+4 Trinidad,CO 81082 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> mom"PS 3800. , ReverseSee 2. Article Number <br /> Form <br /> o Instructions, <br /> (Transfer from service label) 7 014 0150 0000 9138 9332 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postalt.tszr First-Class Mail <br /> UNITED STATESOSTAL bERVICE Postage&Fees Paid <br /> ru CERTIFIED MAILT,, RECEIPT USPS <br /> M (Domestic Mail Only;No Insurance Coverage Provided) inuc Permit No.G-10 <br /> m <br /> u^ <br /> 777t' L • Sender: Please print your name, address, and ZIP+40 <br /> in this box• <br /> m <br /> 'a Postage $ <br /> Cr_ <br /> - <br /> o Postage: v $0.465 <br /> C3 Certified Fee: c�� $3.300 State of CO - Dept. of Natural Resources <br /> 1:3 (End Division of Reclamation, Mining &Safety <br /> Return Receipt Fee: cNo $2.700 <br /> a.: MINERALS <br /> 0 (End <br /> Ln 1313 Sherman Street, Room 215 <br /> a To,Total Postage & Fees: $6.465 Denver, CO 80203 M-2000-028 <br /> C3 34130000 30-day Grace letter <br /> = Sent No TOD WHE AJW <br /> freer,iipt No:;' Mike A. Ferrero --•------------------------ <br /> !ti or Po sox No. 34320 Hwy. 12 <br /> Ctry State,Z%P+4 <br /> Trinidad,CO 81082 <br /> #I1Ili Jill lfiiif <br /> PS Form 3800, <br /> 11 <br />