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SENDER-COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete 7bre <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addresse <br /> so that we can return the card to you. U). <br /> ceiv b ted Name) C. Date of Delive <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. 'X)j A I ln\�('t <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Thomas Huerkamp <br /> H/S Properties <br /> 50 Heinz Street 3. Service Type <br /> Delta, CO 81416 ❑Certified Mail® ❑Priority Mail Express— <br /> El Registered ❑Return Receipt for Merchandi: <br /> -- ----- - ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7885 4862 <br /> (Transfer from service labeo <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED l I < <..'+..i <br /> • n <br /> STATES pOSTAL�ERVICE <br /> " Fisf=Ctass„Ivla <br /> PGStatil aes Pald <br /> . :fi ,.. f:';{I, ? ..:.(-.�::!i •. �'•-!:�1 i. L.. �.,,„"' ,.,,,,.. .,,4j8'tas �... ,....,., <br /> t <br /> Permit W."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 FLtXA0 f Ar— Spec t,6,3G gm(, <br /> File ynar)70yz <br />