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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> CERTIFIED MAILP RECEIPT <br /> a Domestic Mail Only ■ Complete items 1,2,and 3.Also complete A. ature <br /> r item 4 if Restricted Delivery is desired. ❑Agent <br /> D ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. Received by Printed Na e) C ate of Delivery <br /> D ■ Attach this card to the back of the mailpiece, "I /. j <br /> jPnaeno,. x or on the front if space permits. �Y l <br /> D <f D. Is delivery address fferent from item 1? ❑Yes <br /> Postage: $0.465 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> o Certified Fee: <br /> 3,,300 mark <br /> :1 $2.700 ,re <br /> 7 Return Receipt Fee: Ms. Tawny S. Halandras <br /> Ms. Kimberly L. Brown <br /> u Total Postage & Fees: $6.465 Mountain Valley Bank <br /> a --. w �� 101 N. 6th Street 3. Service Type <br /> u Ms. Tawny S. Halandras P O Box 279 19 Certified Mail0 ❑Priority Mail Express'' <br /> r Ms. Kimberly L. Brown Hayden, CO 80480 ❑ Registered ❑Return Receipt for Merchandise <br /> a Mountain Valley Bank ---------------------------------------------- ❑ Insured Mail ❑Collect on Delivery <br /> 101 N. 6th Street ------------------------------------------------ 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> P O Box 279 <br /> Hayden, CO 80480 2. Article Number <br /> See Reverse for Instructions (transfer from service label) 7 014 2120 0001 8040 0491 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal Service'" <br /> Domesticnly <br /> Mail •ERTIFIED MAIL" RECEIPT UNITED STATES POSTAL SERVICE <br /> First-Class Mail <br /> r-q117 Postage&Fees Paid <br /> LISPS <br /> o Permit No.G-10 <br /> ICIAL USE <br /> C3 3 9 <br /> _- pmtw- s - • Sender: Please print your name, address, and ZIP+4®in this box* <br /> co Postage: 9 $0.465 <br /> �tJ� 300 mark <br /> o Certified Fee: --1 L2.700r ,re <br /> o Return Receipt Fee: <br /> STATE OF COLORADO <br /> 0 DEPARTMENT OF NATURAL RESOURCES <br /> ru Total_Postage & Fees: $6.465 DIVISION OF RECLAMATION, MINING &SAFETY <br /> ru Ms. Tawny S. Halandras 1313 SHERMAN STREET, SUITE 215 <br /> Ms. Kimberly L. Brown DENVER CO 80203-2273 L O l Canes <br /> rq Mountain Valley Bank --------------------------L <br /> � <br /> C3 101 N. 6th Street SpeC. <br /> N File#�00 <br /> P O Box 279 <br /> Hayden, CO 80480 .- , <br /> Il;�titl!}I;sslliil�i�lliliililllillll'IIIi2sili��lj�}�Iiall��lll <br />