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1 I ,11 <br /> _ <br /> ate of CO- Dept. of Natural Resources 11J a U.S.POSTAGE>>P+TxEyBOWES <br /> vision of Reclamation, Mining &Safety / i• -t �o <br /> INERALS <br /> t13 Sherman Street, Room 215 a <br /> Inver, CO 80203 ZIP 80216 C <br /> 130000 02 UY 0�7'�70 <br /> 7014 2120 0001 7885 4121 0001366873MAR 24 2017 <br /> m - igc?/— o6--0 <br /> RECEIVED <br /> Cathleen Van Egmond = <br /> Russell Van Egmond APR 18 2017 <br /> 546 Doe Valley Rd. <br /> Guffey, CO 80820 DIVISION OF RECLAMATION -- <br /> MINING AND SAFETY <br /> SENDER: DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Cathleen Van Egmond <br /> Russell Van Egmond <br /> 546 Doe Valley Rd. <br /> Guffey,CO 80820 <br /> II I II I' I'I II I II I I��'I I II III I I�I I II I II I I 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted' <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2053 6132 7849 66 ❑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 ❑Signature Confirmation' <br /> ured Mail ❑Signature Confirmation <br /> 7 014 2120 0001 7885 4121 ured Mail Restricted Delivery Restricted Delivery <br /> er$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I <br /> NIXIE34>a�D3fidw1N <br /> RETURN �R <br /> UN <br /> URN TO SENDER <br />