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SENDER:COMPLETE T141S SECTION COMPLETE TMS SECTION ON nEUVERY <br /> ■ Complete items 1,2,and 3.Also complete A gnature <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse ❑Addressi <br /> so that we can return the card to you. eceive (PXtName) C. Date of Delive <br /> ■ Attach this card to the back of the maiipiece, Q <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Chris Leone {; <br /> Journey Ventures, LLC <br /> P.O. Box 129 3. Service Type` <br /> Greeley, CO- 80632 11 Certified Mqo ❑Priority ail Express' <br /> .441, ❑Registered' ,,C ceipt for Merchandis <br /> ❑Insured Nib E� oln�x Delivery <br /> 4. Restricted Delivery? ra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7871 1332 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> a,. <br /> UNITED STATES*ST 1LVF ICE First-Class Mail <br /> CO t l" - Postage&Fees Paid <br /> USPS <br /> �•� y- �._:•a Permit No.G-10 <br /> Sender: Please print your name, address, and ZIP+4®in this box' <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver,CO 80203 Spec Sl <br /> File o a`6l2 <br /> �✓Sol <br /> liliill'�1��iil n lllll�l�lil�nfl'll�l�lill�iljl�llii� ��dill <br />