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I <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete ure <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addresse <br /> so that we can return the card to you. eceiv b ted Name) C. Date of Delivei <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 /> Mr. Thomas Huerkamp <br /> H/S Properties <br /> 50 Heinz Street 3. Service Type <br /> Delta, CO 81416 ❑Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandi; <br /> — - - - ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7885 4862 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> � FPermit <br /> UNITED STATESPOSTAL�ERViCE "' ,' ..,,.. lillailCSP id <br /> N&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 <br /> Denver, CO 80203 RIXX Inc- Spec 1;.3G owc- <br /> File yn_Qy:� <br />