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t <br /> SENDER COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si9p'at <br /> ure <br /> item 4 if Restricted Delivery is desired. 0 ent <br /> ■ Print your name and address on the reverse . Addresse <br /> so that we can return the card to you. B. ece• y Printed Name) jC,D4teofPehvei <br /> ■ Attach this card to the back of the mailpiece, (f��� 014Iv <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑11zs <br /> 1. Articrrle��Addressed to: If YES,enter delivery address below: Wqo <br /> 3.,1SeeSvice Type <br /> .qi Certified Mail® ❑Priority Mail Express- <br /> J ❑Registered ❑Return Receipt for Merchandi <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 8040 2044 <br /> {Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE QtOt!#".;is f =," �,'""^�. ^' as <br /> s <br /> 1^rAO R{t.��i"'{ ..•"2'; I•? F?^�.. �`' ru`"""^b- w.' '�,'F'se„7�,lSa <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 <br /> File <br /> 1l�JII�!lrl�r��rf!lil��i��iilifl�Itli�!l����il�rtltiilii!!ri»!!! <br />