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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, a <br />R"AF,� thiGD- <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addraemr! +-- <br />Rio Blanco County <br />Commissioners <br />P.O. Box I <br />Meeker, CO 81641 <br />2. Article Number <br />(Transfer from service labeO <br />PS Form 3811, July 2013 <br />State of Colorado 00TO-7 Z06 <br />Department of Natural Resources p�SION OF R: r; YATION <br />Division of Reclamation, Mining & Sa etVININGA,h, EW <br />1313 Sherman Street, Room 215 v <br />Denver, CO 80203 <br />C-1981-019 <br />SL -9 <br />zttlahh <br />40;p�,Ltr <br />� . <br />A. Signature ,� <br />x �� /� j��y �� _❑ Agent <br />L"'—❑ Addressee <br />B. 7eceived by (Prrn d Name) C. Date pf Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <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) ❑ Yes <br />71714 21211 13001 7871 <br />11526 <br />Domestic Return Receipt <br />