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COMPLETE THIS SECTION 0 <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B.fi.,ceived by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits, b d <br /> D. Is delivery address different from item 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Kevin Cassidy <br /> Seaglass (ding Corp.dba US Rare Ealihs <br /> 5600 Ten on Pkwy.,Suite 240 <br /> Plano 5024 <br /> 3. Service Type <br /> ❑Certified Mail' ❑Priority Mail Express'" <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> ?. Article Number 7 014 212 0 0001 8040 1573 <br /> (Transfer from service label) <br /> �S Form 3811,July 2013 Domestic Return Receipt <br /> i' <br /> UNITED STATE$ PQ&T'AL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> ` ':•- ' USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box• <br /> State of CO -Dept. of Natural Resources <br /> I Division of Reclamation, Mining&SbUbty <br /> MINERALS <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 P-2011-024 <br /> 34130000 FW Letter <br /> DMC GRM AJw <br /> i I <br />