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SENDER: rmPLE-rE THIS SECTION COMPLETEISECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Sign ■ Print your name and address on the reverse X� 1^ El Agent so that we can return the card to you. l °✓� E ❑Addresse ■ Attach this Card to the back of the mallpiece, B Received by(Printed Name) C. Date of Deliver or on the front if space permits. p 4,ve—, .U�G 1 Article Addressed to- D. Is delivery address different from Item 1? ❑ Yes If YES,enter delivery address below: ❑ No Thomaw*a Karen Miller + 1984 i9,noke Dr NE Rio R C, NM 87144-5551 3, Service Type G Priority Mail Expresso ❑Adult Signature G Registered MailTM �!�i �I �I I� '�III I I� (i!) I I!�III�I I I)I' ❑Adult Signature Restricted Delivery ❑Registered Mail Restric G Certified MailO Delivery 9590 9,102 3488 7275 7559 28 ❑Certified Mail Restricted Delivery ❑Return Receipt for Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation u Insured Mail 0 Signature Confirmation 7 016 2140 0000 2345 8841 ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Recelp Postal Certified Mail service provides the following benefits: RECEIPT ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail i CERTIFIED MAIL" ■A unique identifier u�mailpiece.- - associate for assistance.To receive a duplicate r—q ■Electronic verifinly lion of delivery or attem.Pted + etum receipt for no additional fee,present this 7 Domestic • delivery, ry��! —� �� ®-postmarked Certified Mail receipt to the cam, ■A record of dell r IlblRdlf'gOleftlpIE �' Co signature)that etained b 1 3 deiive to addressee fied b name,or _ __ ____ g ) y the Postal Se ice- delivery service,which provides for a specified per e�L P Y L_ _ _ tfagent. d r! �:e Important Remin ers. Adul ignature service,which requires the R U. ■You may purchase Certified rvice with ee to be at least 21 years of age(not r'U O 'U OI. First-Class Mad®,First-ClassPackag avallableatretail). Certified F �`°stag or Priority Mail®service. - Fee. -Adultsignaturerestricteddeliveryservice,which o Ret JU,4ru ■Certified Mad service is notavailable for requires the signee to be at least 21 years of age o ! - Urn Receipt F international mail. and provides delivery to the addressee specified ED = Fee: S3.4; ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent TOPostage SZ 7, with Certified Mad service.However,the purchase (not available at retail). Total of Certified Mail service does not change the ■To ensure that your Certified Mad receipt is & F e eS insurance coverage automatically included with accepted as legal proof of mailing,d should bear a certain Priority Mad items. USPS postmark.If you would like a postmark on Total Postage and i•lt, ■For an additional fee,and with a proper this Certified Mad receipt,please present your � endorsement on the madpiece,you may request Certified Mad item at a Post Office—for s 3 the following services: postmarking If you don't need a postmark on this __ -Return receipt service,which provides a record Certified Mad receipt,Q@ta Fypr portion [11ornas and Karen Miller � of delivery(including a(�ggcglie s si f thi o CUM C3 - 1 [ QjF9a lldco r ei G�dbro � a dthemail lece. ^ 1984 Roanoke Dr NE elec— UdnTcver o r dco r r r elIS . �00� 7 p complete r 1 ' ! Rio Rancho, 87144-555 i' Receipt,all5�}i or tetgypyr piyI ie(yW"RJ&3ire this receipt for your records. ftvCi i PS Form 3800,April 2015(Reverse)PSN 7530-02.000-9047 USPV 1rMAVMG First-Class Mal Postage&Fees Paid USPS Permit No.G-10 9590 9402 3488 7275 7559 28 United States •Sender: Please print your name,address,and ZIP+4®in this box* Postal Service State of Colorado Department of Natural Resources Division of Reclamation,Mining& Safety 1313 Sherman Street, Suite 215 W Denver,CO 80203 Spec File et-ltt3 i5