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USPS TRACKNG# i lass�4�ilw� <br /> w�' postage`s Fees Paid <br /> _..,- -Permit No.G-10_.Y <br /> 9590 9402 2053 6132 7814 22 <br /> United States •Sender:Please print your name,address,and ZfP+40 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 _ C-1981-041 <br /> SL-11 <br /> Inspection Motif <br /> H <br /> ' 1' �� t�>=>�y = � t�l�tli � lli11111 „'i , � <br /> SENDERCOMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. 0A. SignaturePrint your name and address on the reverse ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, by nted Name) C. Date of Deli <br /> or on the front if space permits. k2 14 t _�— <br /> 1. Article Addressed to: D. Is d ivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Ruv and Ethel Fontanari <br /> 3316 E -Y, Road <br /> Clifton, CO 81520 <br /> II�'lll'II III'II�IIIIIII IIII IIIIIIII VIII r 3. Service Type ❑Priority dlExpress® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9 1:1 Certified Mail® Delivery <br /> 590 9402 2053 6132 7814 22 <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Ar"? El Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> Insured Mail 11 Signature Confirmation <br /> 0�+6 2710 0 0 0 0 2 9 2965 <br /> 4769 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811 JDIy 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />