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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A i ature <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. eceived by(P"nted Name) C. Datq of Delivery <br /> ■ Attach this card to the back of the mailpiece, `�� J l� S <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? Ye <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Bryan Malouff <br /> RMS Utilities,Inc. <br /> 6349 County Rd.106.65 S. <br /> Alamosa,CO 81101_ <br /> 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> ❑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 7885 3001 <br /> (Transfer from service label <br /> PS Form 3811,July 2013 Domestic Return Receipt I <br /> UNITED STATEBP-0STAL-SG iHRVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> 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 215 261 � <br /> Denver, CO 80203 30-day Grace letter <br /> 34130000 THM GRM AJW <br /> �lilll,�1111f11i1l1111IiIII,j.il��r��l"f'i�l��llll'f111111��u'� <br />