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SENDER: COMPLETE I THIS SECTION COMPI ETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. 1 �I Agent <br /> ■ Print your name and address on the reverse X (�^ ^^ CC ❑Addresse( <br /> so that we can return the Card to you. B. Received by(Printed Name) j C. Date of D liven <br /> ■ Attach this card to the back of the mailpiece, f o� ; <br /> or on the front if space permits. A 0, ^) - A ✓. I I L <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: JZ No <br /> 6_ �L�'Z� <br /> � e-��� 1 00 C�-� l 3. Service Type <br /> Certified Mail- ❑Priority Mail Express- <br /> El Registered ❑Return Receipt for Merchandisf <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 6903 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> M�tYna+vy.e,je. �.MtMbr4<: <br /> UNITED STATES POSTAL SERVICE ,,- <br /> US�= � <br /> .,, <br /> ,«V OS�µp� <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 SpecTC-\ <br /> Filets-2�(ts-l�U <br />