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UNITED STATES POSTAL SERWW`IVF—P� CC <br /> • Sender: Please print your name, address, and ZIPW in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& Safety�•7M�, <br /> 1313 Sherman Street, Suite 215 <br /> Denver,CO 80203 Spec <br /> File <br /> fill rrllrlolll1l1l1ll1)Ilol oil 111,111+IIllllotollo111Io)rlrl�,�o�o <br /> COMPLETE • -�•MPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name)J C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address differ4 from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr Mason Kina <br /> Mason King <br /> PO-Box s8 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> Cope, CO 80812 ❑Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7869 7896 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />