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a <br /> • • •COMPLETE THIS <br /> ■ Complete Items 1,2,and 3.Also complete . Si re <br /> item 4 if Restricted Delivery is desired. ❑AgeAt <br /> ■ Print your name and address on the reverse ressee <br /> so that we can return the card to you. JB. i by(Printed e) e f ge}iyery <br /> ■ Attach this card to the back of the mailpiece, 171 <br /> /'/ <br /> or on the front if space permits. <br /> D. Is delivery address different from ite 1. ❑ es <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> two I �3�.�-• 54,�.�.t- <br /> 1 0, 70C>O/ 3. Se Certified <br /> 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 <br /> (Transfer from service label) 7 16 21400000 2345 5642 <br /> :IS Form 3811,July2013 D_:est;c Peautn R-•r.�rot-- -- <br /> (UNITED STATE$ POSUL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> x .f USPS <br /> Permit No.G-10 <br /> FE I L <br /> • Sender: Please print your name, address, and ZIPW in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> Jlli�rwRaPa Jn. <br /> 1313 Sherman Street,Room 215 <br /> Ae <br /> Denver,CO 80203 Spec <br /> File/�ftl'my <br /> :3­2242;G <br />