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SENDER: 1 / SECTION <br /> ■ Complete items 1,2,and S.Also complete A. Sig ture �/ <br /> item 4 if Restricted Delivery is desired. X Gi`Agent <br /> ■ Print your name and address on the reverse l ❑Address, <br /> so that we can return the card to you. ceived by(Printe Na e) \ C. D e of Iy✓e <br /> ■ Attach this card to the back of the mailpiece, Gf I0. C 0. } 1 1 61 M <br /> or on the front if space permits. 1" <br /> D. Is delivery address different from item J? ❑��Y`s <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> e <br /> Mr. Shannon P Murphy <br /> Providence Mining LLC <br /> 100 W Bennett Avenue s. se Type <br /> Certified Mail® ❑Priority Mail Express'" <br /> P 0. BOY 661 M Registered 0 Return Receipt for Merchandi: <br /> Cripple Creek. Colorado 80813-0661 ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7869 5403 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> LISPS <br /> 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 <br /> File <br />