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SECTIONPENDER: COMPLETE THIS , COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Si ure <br /> ■ Print your name and address on the reverse El <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• Received by(Print d Name) C. Date of Delivery <br /> or on the front if space permits. 4 I a <br /> I• — D.•ig delivery address diffeban rom item 1? ❑Yes <br /> •,If Y ;enter deliQry,ac�dres below: ❑ No <br /> Mr. Thomas Brubaker r' <br /> Valco, Inc. <br /> 9296 Windhaven Drive " ': all <br /> Parker, CO 80134 <br /> 111 111111 <br /> I'll 11l I II I IIIII I I II 11 I I l i I I I III 3. Service Type ❑Priority Mail Expresso <br /> ❑AIt Signae""� iQe ❑Registered Ma1jTM <br /> ❑ rR DAdult•Signatur; <br /> ❑Registered Mad Restricts <br /> E�Certifisa wail® Delivery <br /> 9590 9402 2053 6132 7838 22 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationT <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2140 0000 2345 5673 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> 'S Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> USPW,TWBM# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7838 22 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service 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 1�� <br /> •�1�j72 :2'5 t File <br />