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SENDER-COMPLETE THIS SECTION COMPLETE THIS SECTION 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 X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, �I S ��`L'CZ �,/ <br /> or on the front if space permits. <br /> D. Is delivery address different from item 19 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr, Rowel Vasquez <br /> Blue Mountain Stone <br /> P 0 Box 946 3. Service Type <br /> Lyons, CO 80540 ❑Certified Mail® [I Priority Mail Express" <br /> y ❑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 tabu) 7 014 2120 0001 7 8 8 5 6552 <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 .i L �. { Spec 0 <br /> File wi 7 <br />