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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING&SAFE <br /> Attn:Camr//e Moja, '• N-�T,LY4�;:•+- <br /> 1313 SHERMAN STREET, ROOM 215 .71 <br /> " <br /> 3DENVER,CO 80203 <br /> 413 0000 _lP, ' Zlf' <br /> 02 ' <br /> 7 6 2140 0000 2345 9572 <br /> N <br /> SENDER:COMPLETE THIS SLCTION CWPI ETE THIS SECTION ON DELIVERY <br /> 'fete items and 3. A.Signature <br /> r., roe and_daRp on the reverse X ❑Agent <br /> "am the Ca you. ❑Addressee <br /> ."ck of the llpiece, B.Received by(Printed Name) 0.Date of Delivery <br /> \v' n <br /> F. -• '_�)•., C'E• D Is delivery address different from Item 1 7 El Yes <br /> v=k rr If YES,enter delivery addresa below ❑No <br /> 127 <br /> Leadville, , <br /> C P",rx,tea,E,FfesGz, <br /> III'I'I I�I 'llll IIIII (Ill l���lr. '•�*„i (`:!� / !cry ❑R g ists d Mal Restricted <br /> 9590 9402 2053 6132 7821 4o Return urn <br /> / ✓ery ❑R Hecalpt for <br /> r Merchandise <br /> 2 Article Number(Transfer from service label) / eed Delivery Signature Confinnationn <br /> ❑Signature Confirmation (� <br /> 7 016 2140 0000 2345 9572 s5ool Jenvery Restricted Delivery <br /> \� PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />