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COMPLETE • COMPLETESECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. \^, Agent <br /> ■ Print your name and address on the reverse X` Y�l,l 'Addresse <br /> so that we can return the card to you. B. Received Py(Printed Name) C. Daft el�vvA <br /> ■ Attach this card to the back of the mailpiece, / I—or on the front if space permits. <br /> D. Is delivery add ss different fro tem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Jon Mueller <br /> Grand Junction Pipe & Supply Co. <br /> 3. Service Type <br /> 556 Struthers Ave. ❑Certified Mail® ❑Priority Mail Express- <br /> Grand Junction, CO 81501 ❑Registered ❑Return Receipt for Merchandis <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7885 3247 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE• ,`;,~` ,�,-t;� �.., ; <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 ��'Q�»./ <br /> Denver, CO 80203 Spec l C <br /> File <br />