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COMPLETE •N COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Sig re <br /> item 4 if Restricted Delivery is desired. gent <br /> ■ Print your name and address on the reverse X ❑Addresse <br /> so that we can return the card to you. .,Received by fife dame) C D e of De vei <br /> ■ Attach this card to the back of the mailpiece, II <br /> ttj- <br /> or on the front if space permits. U&W r <br /> D. Is delivery address differe om item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery ad ss below: XNo <br /> Jim Dilley <br /> Dilley's Sand and Gravel Inc. <br /> 1914 f�emunds Street 3. �Se�Type <br /> Brush, Colorado 80723 2ertified WHO ❑Priority Mail Express'" <br /> ❑Registered ❑Return Receipt for MerchandiE <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service labeq 7 014 2120 0001 7869 5359 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SEMC91 <br /> �{4W.0-4�. <br /> , <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 Spec- <br /> File <br /> lull��liillif�liill�l��ill���llllllil�lili�i�ll�lllll��I�I�����I <br />