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COMPLETE • • <br /> ■ Complete items 1,2,and 3.Also complete A. Si ure <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse / ❑Addressee <br /> so that we can return the card to you. k. R ved y(Printed ) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. c <br /> S. Is delivery address different from i em 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Achele M. and Frederick V. Eichler IV <br /> 1-2250 C R 44 I <br /> %guitar, CO 81202 3. Service Type <br /> ❑Certified Mails ❑Priority Mail Express' <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> ?. Article Number <br /> (Transfer from service label) 7 016 2140 0000 2345 5543 <br /> :IS Form 3811,July 2013 Ilkomestic Return� .-,eipt <br /> f P )ab <br /> UNITED STATES RUopk-1�24�RVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> r 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 /> ✓�..caPa Jca�am <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203 Spec M <br /> File <br /> 3--.�^-2436S "llllll� lrl�rr�l� ��111'��'1!►���111�1111111111+�� 11'1��111� <br />