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SENDER: • •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X /Q 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 D liven <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. �P 0) ,.1 _ 1� A_ 1 I` f'a/ i/ 1 C <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: .Jd No <br /> 3. Service Type <br /> Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandlse <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7885 6903 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE :L)E- <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 U <br /> Filets-2�sl�cs'CX�U <br />