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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signa <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse v ❑Addressi <br /> so that we can return the card to you. Received by(Printed Name) C. Date of Delive <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. S� <br /> D. Is delivery address different from item 1? ❑Yes <br /> f. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Jack Clark <br /> Jack Clark, Jr. <br /> P.O. Box 767 <br /> Silverton, CO 81433 <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 9138 3736 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE 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 <br /> Denver, CO 80203 P-2010-003 <br /> 34130000__ RTB Letter <br /> THM GRM AJW <br /> 1111dili;ill==j=jjji=ikii=!lil=ll==Ili <br />