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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Complete items 1,2,and 3.Also complete A. Si atur <br /> item 4 if Restricted Delivery is desired. I Agent <br /> ■ Print your name and address on the reverse Addresse <br /> so that we can return the card to you. B. Received by(Printed N me) C. Date of D liver <br /> ■ Attach this card to the back of the mailpiece, 7 � ,� <br /> or on the front if space permits. It <br /> .'I_ AL'fir,IP..gddrPssad tn• D. Is delivery address different from item l? [:!Yes <br /> - ——----- If YES,enter delivery address below: ❑ No <br /> Mr. Gerald Nalezny <br /> Verus Bank of Commerce <br /> 3700 S. College Avenue Unit 102 <br /> Fort Collins, CO 80525 3. Service Type <br /> OCiertlfled Mail® ❑Priority Mail Express- <br /> - — —- '- -- -- ❑ Registered ❑Return Receipt for Merchandis, <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 0781 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES P�'W*'%9RVICE <br /> A4; r =¢.,...;_ '.ws, First-class Mail <br /> 1 C Postage&Fees Paid <br /> LISPS <br /> Permit No.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 <br /> 1313 Sherman Street, Suitel215 nin &Safety <br /> Denver, CO 80203 <br /> Spec PS6f- <br /> File_�o���a <br /> 'Ilrrir�Irll�rrl�11�111hrl11lrl�n,„rr+rrlrlrll�I�IrrlrlrlrrU+ <br />