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SENDEW COMPLETE • •MPLETE THIS SECTION ON DELIVERY <br /> � <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. fAgent <br /> ■ Print your name and address on the reverse X 7 ddresse <br /> so that we can return the card to you. B. Received by(Printed Name) IC. Da of live <br /> ■ Attach this card to the back of the maiipiece, <br /> li <br /> or on the front if space permits. ' <br /> 1. Article Addressed to: D. Is delivery address different from item 1? Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Robert D. Oman <br /> Select,Materials, LLC <br /> P 0 Box 280 3. Service Type <br /> Fort Upton, CO 80162 Certified Mail® ❑Priority Mail Express— <br /> ❑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 laben 7 014 2120 0001 7885 4886 <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 ULy�� PW64 Spec Psµ <br /> File m►iAzK <br />