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SENDER: COMPLETE THIS SECTION COMPLETE T141S SECTIOIV ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse °`�� ❑Addresse. <br /> so that we can return the card to you. eceived by(Printed Name) C. Date f Deliver <br /> ■ Attach this card to the back of the mailpiece, " <br /> or on the front if space permits. J �� <br /> D. Is delivery address different from item . ❑ es <br /> 1. Article Addressed to: W, If YES,enter delivery address below: ❑ No <br /> James D. Branch <br /> -MCR High Country Repair 3. Service Type <br /> 2632 McCormick Ave. ❑Certified Mail® ❑Priority Mail Express' <br /> Pueblo, CO 81001 ❑ 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 7869 9586 <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 /> LISPS <br /> Permit No.G-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 .�� <br /> Denver,CO 80203 Spec <br /> File <br /> lli�illFlliir�,ililllit''ililll►iirir�lsli'�1'It'I'�'��'fl1i1111f� <br />