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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER:COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A ignature <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse ddressee <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? Yes <br /> If YES,enter delivery address below: 14'No <br /> Daryl Aubuchon <br /> The First National Bank in Trinidad <br /> 100 E. Main Street <br /> Trinidad, CO 81082 3. Service Type <br /> ®_ Certified Mail® ❑ Priority Mail `"Express <br /> ❑Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 8040 0 7 4 3 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATEkf911S1i"-SERVICE <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <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 fWme� 14 6- Spec /-M4-, <br /> File ✓h a�0�p1�i <br /> ,rnu <br />