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SENDER:comPLErE THIS SECTION <br /> COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign** e <br /> item 4 if Restricted Delivery is desired. / ElAgent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. RecVed by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. f�)t_�l i C <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Mike Joosten <br /> Mike Joosten <br /> 3 <br /> 7775 E. 124th Dr. . Service Type <br /> ❑Certified Mail ❑Priority Mail Express' <br /> Thornton, CO 80602 ❑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 9999 <br /> (Transfer from service label <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> r 9� ire k` <br /> UNITED STATE�Pgs SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+41 in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 'P;Wq,0;13 <br /> Denver,CO 80203 Spec <br /> File <br />