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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION . <br /> ■ Complete items 1,2,and 3.Also complete A. Sig ture <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> • Print your name and address on the reverse ���n ZIA ❑Address, <br /> so that we can return the card to you. g. Received by(P Nam C Date of Delive <br /> ■ Attach this card to the back of the mailpiece, i IKt Q ���� )Z_ <br /> or on the front if space permits. — 71G <br /> D. Is delivery a ress different fro em i?—El3e�s <br /> 1. Article Addressed to: If YES,enter delivery addres b(r lo ❑'N <br /> Ms_Toni James E <br /> ink of Co1o�a <br /> 1443 Mesa View Dr. a. ®service Type Ma -, <br /> Certified il® ❑Priority Mail Express"' <br /> Delta, CO 81416 El Registered ❑Return Receipt forMerchandi: <br /> El Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, Article Number 7 014 212 0 0001 7885 6569 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this bo'?O,�-, <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 c0 Specs <br /> File doo79 yi <br />