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COMPLETESENDER •N COMPLETE THIS SECTION• <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X Agent <br /> ■ Print your name and address on the reverse ❑Addressef <br /> so that we can return the card to you. B. Received by(Printed Name) C..I�D e of liv/erl <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? ❑Yep <br /> 1. Article Addressed to: If YES,enter delivery address below: o <br /> Mr. Frank L Leone <br /> Leone Sand & Gravel, LLC <br /> 2400 E. Main Street 3. Service Type <br /> Trinidad, CO- 81082 IN 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 7 014 212 0 0001 8040 0736 <br /> (7"ransfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE 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 4s <br /> Denver,CO 80203 ,y,, I � Spec �fi <br /> �'�l' File � a004VL4' <br /> rn cgcevma <br /> ►i�il�i!"I'iiliiFliliillliji:=ili�ili�iii�lli�,l'i'il�lf dllil' <br />