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COMPLETE •Af COMPLETE THIS StiCTIONON DELIVERY <br /> ■ Complete items 1,2,and S.Also complete A Signatu77 <br /> item 4 if Restricted Delivery is desired. �, ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressi <br /> so that we can return the card to you. B. eived by( rinted Name) C. Date of Delive <br /> ■ Attach this card to the back of the mailpiece, � <br /> or on the front if space permits. <br /> I ArtQ.le Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Curt Houchin <br /> P 0 Box 85 <br /> Green Mountain Falls, CO 80819 3. Service Type <br /> $f Certified Mail® ❑Priority Mail Express- <br /> - ❑Registered ❑Return Receipt for Merchandi: <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7869 7858 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> �:'a�::'4'•i''•a i~:'4 <br /> UNITED STATES PQS'll''LFVICE First-Class Mail <br /> 1•1. F B, `1-7 USPS Poste&Fees Paid <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,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver,CO 80203 Spec_ <br /> CE h",vto( File m ieTty--i'R <br />