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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ���� ❑Agent <br /> ■ Print your name and address on the reverse Address <br /> so that we can return the card to you. B. Received by(Printed Name) C Dat of Deli e <br /> ■ Attach this card to the back of the mailpiece, .n Q, �`��� S �Z <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr Tim DeHerrera <br /> Alamosa County <br /> 8663 S CR 109 <br /> Alamosa,CO 81101 <br /> 3. Service Type <br /> ❑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 0150 0000 9131 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt - <br /> UNITED STATES YC?S _ VICE First Class Mail <br /> Postage&Fees Paid <br /> USP <br /> M AY ''Iih, Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box• <br /> State of CO - Dept. of Natural Resources <br /> Division of Reclamation, Mining &Safety <br /> MINERALS <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 -M-2001-108 <br /> 34130000 30-day Grace letter <br /> -- — - DMC GRM AJW <br /> --.w~.;4'--ic 11 111111111111i��i�lrllli <br />