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i <br /> SENDER: • •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sig r <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. y(Printed Name) C. Date of Deliv ry <br /> ■ Attach this card to the back of the mailpiece; Z <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? Yes <br /> 1. Article Addressed to: If YES,enter delivery address below�NO <br /> y � <br /> Mr.Trent Stafford <br /> Seifert Enterprises, LLC\ 3. Service Type <br /> 198 Rangeview Loop ❑Certified Mail® ❑Priority Mail Express'" <br /> Westcliffe, CO 81252 ❑Registered ❑Return Receipt for Merchandise <br /> — — - ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number ?014 212 0 0001 ?8 6 9 5?9 3 <br /> (Transfer from service IabeQ <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES ERVICE First-Class Mail <br /> Postage&Fees Paid <br /> LISPS <br /> Permit No.G-10 <br /> t• a a <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 /> G. .." 9).j en <br /> 1313 Sherman Street,Room 215 M-2011-015 <br /> Denver,CO 80203 - <br /> File <br /> =ilili=dill=Iliilli=Iniii==illiili=i=iliil=iliilli=ililiili==�, <br />