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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A Si•. atu <br /> • Print your name and address on the reverse X 1, ❑Agent <br /> so that we can return the card to you. _ Il ❑Addresse <br /> • Attach this card to the back of the mailpiece, B. Received • (Printed Name) ' "C. Date of Deliver <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: 0 No <br /> Ms. Kathy Holland <br /> Cross Mountain Ranch Ltd <br /> 420 E. Carrillo Street <br /> Santa Barbara, CA 93101 <br /> 3. Service Type 0 Priority Mad ess® <br /> III I III 11111 0 Adult ignature ❑Registered Mat, <br /> ❑ <br /> Adult Signature Restricted Delivery 0 Registered Mail Restrict <br /> ery <br /> 9590 9402 2053 6132 7802 41 0 Ceertifieedd Mal Restricted Delivery 0 ReturnReNeceipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery ❑Signature Confirmation.' <br /> 0 Insured Mail 0 Signature Confirmation <br /> 7 016 2 710 0000 2904 6847 <br /> ❑Insured OM0,ll Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> USPS TRACKING# <br /> First-Class Mail <br /> 1111 111 11111 11111 0 111 11 11 Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7802 41 <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 80203-2243 <br /> L y Spec. <br /> -4-:tni 1 r„ I<<-?</,; v File _ <br />