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COMPLETETHIS SECTION COMPL THIS <br /> SENDER ETE' I�EQTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X 05 Agent <br /> ■ Print your name and address on the reverse lresset <br /> 1 4�so that we can return the card to you. 13.9ecetved by(Pri ted 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: ❑ No <br /> Celina Akin <br /> Solvay Chemicals, Inc. 3. SS ice Type <br /> 2717 County Road 215 751 Certified Mail® ❑Priority Mail Express'" <br /> Parachute, CO 81635 ❑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 0 5 <br /> (Transfer from service label <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED� /���`S.,P�8UL�ER1YI�l=#, f.1 <br /> FIrs4=�?�sS'I1XjFl".a <br /> Permit No:t�" <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 r <br /> Denver,CO 80203 60-1 Spec (� <br /> File ���fl� <br /> ti;a;it:I;;:ttttllt;lillE;cictl;;;lit iitiili!;(c;t;;;t;Elt!l:iltl <br /> t �ttt t v�r tt tttt +rtt t ettt tt � t t tt t ; <br />