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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER:COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X 0 Agent <br /> ■ Print your name and address on the reverse ❑Addresse <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> ❑Registered ❑Return Receipt for Merchandis, <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7p14 2120 0001 7869 6929 <br /> (Transfer from service IaBe. <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, Room 215 <br /> Denver, CO 80203 Spec <br /> File <br />