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• SECTIONe r ON <br /> ■ Complete items 1,2,and 3.Also complete A. Sign ure <br /> item 4 if Restricted Delivery is desired. p 0 Agent <br /> ■ Print your name and address on the reverse X, , s `�-� El Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delver) <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? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> KimB aber— <br /> Bank of the San Juans`1 <br /> 816 Royal Gorge Blvd 3. Service Type <br /> Canon City, CO 81212 ®Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7-014 2120 0001 8040 0729 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES ' ' = <br /> NICE <br /> &USPS3 <br /> Sender: Please print your name, addr <br /> address, and ZIP+4@ in this box• <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation <br /> 1313 Sherman Street 'Mining&Safety <br /> Denver, CO 80203 Sul Mining <br /> 215 <br /> IV <br /> lid <br /> L Spec c, L <br /> File qj Vd,) <br /> ii'II�"t�tlil'tI il�l'il'�1'ri, ,I i <br /> i Ilil Illli„�,i,l <br />