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�•1�' 7t �1�1r.M"h' "C" � .,y``..`.h Np+ <br /> UNITED STATES POSTAL SER11lr'�E� _Y <br /> . , " <br /> _ <br /> at <br /> 71 <br /> n <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 /> �. �' <br /> 1313 Sherman Street, Suite 215 <br /> Denver,CO 80203 Spec <br /> File <br /> Iln��!l�lilll)I�I�lilltl�lill'►tt'i11�l�lll�i���►ri►l►rl�l�l� t��i <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑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 /> Pio-'Box 68 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express' <br /> Cope, CO 80812 ❑Registered El Return Receipt for Merchandise <br /> - ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, Article Number 7 014 2120 0001 7869 7896 <br /> (Transfer from service labe9 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />