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SENDER:COMPLETEtHIS SECTION COMPLETE THIS ON ON DELIVERYs <br /> Ile Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X :P, El Agent <br /> ■ Print your name and address on the reverse Addresse <br /> so that we can return the card to you. B. Received by(Printed Name) Date of Deliver <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. -tZ <br /> D. Is delivery addres different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Rick Ensminger <br /> Rick Ensminger 3. Service Type <br /> PO Box 276 ❑Certified Mail® ❑Priority Mail Express"' <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> Haxtun, CO $0731 <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7869 9531 <br /> (Transfer from service label) <br /> PS Form 3811,July 2m:i - <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.O.10 <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 /%1,ZO/O <br /> Denver,CO 80203 Spec <br /> File <br />