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COMPLETESENDER: COMPLETE THIS SECTION • ON <br /> IllComplete items 1,2,and 3. A. Signturb <br /> ■ Print your name and address on the reverse X 0 Addr <br /> so that we can return the card to you. f -- t ) ❑Addresse <br /> ■ Attach this card to the back of the mailpiece, <br /> B Receiveo by(Pri ed Name) C. Date of Delivei <br /> or on the front if space permits_ - <br /> 1 Article Addressed to D. Is delivery address different from item 19 © Yes <br /> If YES,enter delivery address below. ❑ No <br /> David Valdez <br /> Colorer City Metropolitan District <br /> 4497 Bent Brothers Blvd. <br /> Colorado City, CO 81019 <br /> 3. Service Type ❑Priority Mail,Express&, <br /> Adu <br /> istered MaijT" <br /> i j It ❑Adult Signature Restricted Delive ❑Re istered Mad Restric <br /> I V 111 III III' I�, III III .I �I I;��II II II Certihed Mad® ry Delivery <br /> 9590 9402 3488 7275 7559 80 Certified Mad Restricted Derivery ❑Return Receipt for <br /> n Collect on Delivery Merchandise <br /> 2- Article Number(Transfer from service label ❑Collect on Delivery Restricted Delivery U Signature Confirmation <br /> Aail ❑Signature Confirmation <br /> ?0 16 2?10 0000 2965 0235 Aad Restricted Delivery Restricted Delivery <br /> 10) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 L-,C Domestic Return Receif <br /> Postal <br /> Certified Mail service.p +�s# following benefits: RECEIPT <br /> ■A receipt(this portio�� ail label). for as ectromc return receipt,see a retail <br /> ■A unique identifier for receive a duplicate •• On <br /> ly <br /> ■Electronic verific of delivery or attempted return rece t for no additional fee,present this M <br /> del' �} PS®pos arkedL4rbfied Mail receipt to the r'J <br /> ■A record of d very(in del••g{fie CD <br /> signature)th Is retained by the Postal Service" Restricted de very service,which provides J� v• , v r.v <br /> for a specdi enod. delivery to addressee specified by name,or <br /> CTCU� to the add ssee'sauthorizedagent Certified Fee: <br /> lmportantRemr ers: t4 1171 1 -Adult atureservice,whichrequiresthe S3.45 <br /> ■You may purchase 'Aed Mail servicewith� e be at least 2l years of age(not z, Return Receipt Fee: S2.75 <br /> First-Class Mail®First- ackage Service® available at retail). <br /> or Priority Mail®service. -Adult signature restricted delivery service,which o Total Postage & Fees <br /> ■Certified Mail service is notavallable for requires the signee to be at least 21 years of ageS 6.67 <br /> international mail. and provides delivery to the addressee specified cl <br /> ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent CZ1 <br /> With Certified Mail service.However,the purchase (not available at retail). n--1.`" ^ ^ • C n <br /> of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is <br /> Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mail items. USPS postmark.If you would like a postmark on <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your rlJ <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for '- -;_ <br /> the following services: postmarking.If you don't need a postmark on this G Daeid Valdez <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion Colorado CttN Metropolitan I)istnct <br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. r— 4497 Bent Brothers Bled <br /> electronic version.For a hardcopy return receipt, ' Colorado CAN.CO 8 10 19 <br /> complete PS <br /> FForm�38n1�1,2DootmesticRetum .�.ca. <br /> RecurCMJ"?ft~8feRWWVW, °'r'• � orris <br /> Ps Form 3800,April 2015(Reverse)PSN 7530-02-OW-9047 <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 3488 7275 7559 80 <br /> United States I •Sender:Please print vour 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 Spec EKP- <br /> File MI, 7915v <br /> CTD <br />