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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON 6ELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sig re <br /> item 4 if Restricted Delivery is desired. gent <br /> ■ Print your name and address on the reverse X ❑Addresse <br /> so that we can return the card to you. .,Received by fir to /Name) C D e of Devei <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address differe om item V ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery ad&6ss below: �No <br /> Jim Dilley <br /> Dilley's Sand and Gravel Inc <br /> 1914 Femunds Street 3. Se Type <br /> Brush, Colorado 80723 WCertified Mail° ❑Priority Mail Express- <br /> [3 Registered ❑Return Receipt for Merchandi: <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7869 5359 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERI61GE.f,4,VL r; <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 /> I►►►I��ill►►if►►Il►l�►�►ili�►�►II,►III�IlII�l�II�►►I►l�►I�►�����I <br />