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SECTIONSENDER- COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse X - Address( <br /> so that we can return the card to you. B. Received by(Printed Name) JC. Da of livei <br /> ■ Attach this card to the back of the mailpiece, ' <br /> or on the front if space permits. 'ieu <br /> D. Is delivery address different from item 1? LJ Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Rabert D. Oman <br /> Select,Materials, LLC <br /> P 0 Box 280 3. Service Type <br /> Fort Lupton, CO 80162 fi�Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandi; <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7 8 8 5 4886 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> 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, and ZIP+4D 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 UWF� rWCO Spec P--v- P3A <br /> File m iq r9,9 S <br /> till fi1 I' <br />