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SENDER: HIS SEC i7ON ON DCLIVERY <br /> COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Si ature-,.,-�'"%14, '" end <br /> item 4 if Restricted Delivery-'sdgsid ;rl,j„j :, �' ` �• <br /> ■ Print your name and address dohereve`rse dresse <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 /> 1. Article Addressed to: If YES,enter delivery address below: [I No <br /> e,�� i�o�C) <br /> Ciao-� � <br /> Cc)(?jo8 <br /> 3. ;vice Type <br /> Certified Mail® ❑ Priority Mail ExpreSSTM <br /> Registered ❑ Return Receipt for Merchandisf <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7�8 It j�7 <br /> (Transfer from service labeq <br /> .�tl .� i <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE <br /> 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 q <br /> r� <br /> 1313 Sherman Street, S=11te 215 <br /> Denver, C0 80203 Spec- c'— <br /> File ajL,�-(z2Z <br /> L <br />