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SENDER: I 1 I I <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 ❑AddressF <br /> so that we can return the card to you g Received by(Printed Name) ^C Date of Delive <br /> a Attach this card,o the back of the mailpiece, Z <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑ Yes <br /> 1 Art CIC Addressed to <br /> If YES,enter deh:ary address below ❑ No <br /> 3. Service Type <br /> 0 Certified Mail' ❑ Priority Mail Express'" <br /> ❑ Registered ❑ Return Receipt for I terchardi_ <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4 Restricted Delivery?(E;'ra Fee) ❑ Yes <br /> 2 Article Number` r []L50 ���� 9138 ��69 <br /> (Transfer from service label) <br /> PS Form 3811, July 2013 Domestic.Return Receipt <br /> _ U.S. Postal <br /> Certified Mail Provides: S <br /> CERTIFIED MAIL. RECEIPT <br /> ■ A marlin receipt 1 rl�r vc ' Only; <br /> 9 P File# t <br /> ■ A unique identifier for your mailpiec "`' _ <br /> ■ A record of delivery kept by the Postal a for two years <br /> Important Reminders: <br /> ■ Certified Mail may ONLY be combined with First-Class Mad®or Priority Mail®. rr - <br /> ■ Certified Mail is not available for any class of international mail. Certified Fee: S3.4G <br /> ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For Return Receipt Fee: S23E <br /> valuables,please consider Insured or Registered Mail. C! <br /> ■ For an additional fee,a Return Receipt may be requested to provide proof of ,I Petu- <br /> delivery.To obtain Return Receipt service,please complete and attach a Return 0 Er 1-rs, Total Postage & Fees: S6.67 <br /> Receipt(PS Form 3811)to the article and add applicable postage to cover the Resin to <br /> fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for E,,d,,seT <br /> a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is <br /> required. -r3 f^ P^=+'^� C(1 47 <br /> ■ For an additional fee, delivery may be restricted to the addressee or Tota,Postage 3 F ees 1 $ J <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the <br /> endorsement"Restricted Delivery". J i seer T) <br /> ■ If a postmark on the Certified Mail receipt is desired,please present the arti- <br /> cle at the post office for postmarking. If a postmark on the Certified Mail J Srree 4�i Nc <br /> receipt is not needed,detach and affix label with postage and mad. r cr Pp e•Y tic <br /> IMPORTANT: Save this receipt and present it when making an inquiry. 'V. 6'are Zlr4 <br /> PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 <br /> pItMS-1313 Sherman St. Room 215,Denver,CO 80208 PS Form :ii <br /> ,August 2006 See Reverse for Instnictior. <br /> .wuyr 4 sua..u«y, <br /> UNITED STATES POSTAL SERV C <br /> sAN fKXA6C1V`5,4ct )c aid <br /> WP <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 80203-2243 <br /> Spec.4fv�L <br /> File �r�,�!_�• <br />