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SECTIONSENDER:COMPLETE THIS
<br /> COMPLETE THIS
<br /> A Si u e
<br /> ■ Ccn,pb [ ta' c. ?. "', and L,Agent
<br /> ■ Print your narne and address on the reverse /;' J Address,
<br /> so that we can return the card to you.
<br /> • Attach this card to the back of the mailpiece,
<br /> eceiv by(Pn�c7 erne) G Dat of Delrfe
<br /> or on the front It space permits - --
<br /> article Add e^ d to -- — D Is delivery address different trom item i° ❑ Ye`
<br /> 31
<br /> f'�fIII fIf 'llfff'lfllf 'fffl f f 11ff if = -- g-rrered Mail
<br /> !P.dun Siyr�h!r_Reetir*mod u�n,e�, _R.ag�s
<br /> ' � Cerrft�!�4ai�J De� err
<br /> 9 5 P 0 94C )cc4 (•1 `� 8 (�� Certified mail Restricted Delivery Aerchandseiptfor
<br /> -Collect on Delivery
<br /> _ _ ❑ naaireConfinndfiur
<br /> from sere ce label - -- =Collect on Delivery Ros*acted r every _C g
<br /> r-�r�1 r-1 -7 I,Izii
<br /> 7 016 2710 0000 0 0 2904 6 4 r 2 1 Insdreu mad Restricted Lelwery Restricted Der��r,
<br /> over$ 00)
<br /> PC r7 '18 1 1 o1, )015 PS^f FiomPstic Return Recep
<br /> Postal
<br /> Certified Mail service provides the following benefits: CERTIFIED MAIIJO RECEIPT'
<br /> ■A receipt(this portion of the Certified Mad label). for an electronic return receipt,see a retail •
<br /> •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate DomeStlic Mail
<br /> ■ nJy
<br /> Electronic ficafon of delivS9 or mpted return receipt for no additional fee,present this
<br /> delivery. DeC._L,_, USPS®-postmarked Certified Mail receipt to the
<br /> ■A record of delivery(in h 1e recipient's
<br /> signature) s r ned by the Postal Service- Restricted delivery service,which provides
<br /> for a speci�i ( ' delivery to the addressee specified by name,or CJ ,6$
<br /> �'s authorized agent o 1.1 to 2.0 oz. Postage � `
<br /> Important pemindeYs � -Aduitsignature service,which requires the 3.4.
<br /> ■You may purchase Certified Mail service with--- signee to be at least 21 years of age(not r� Certified Fee: E
<br /> First-Class Mail®, I - rJ2.7
<br /> _,-- avadableatretad). Return Receipt Fee:
<br /> or Priority Mad®service. -Adult signature restricted delivery service,which O
<br /> ■Certified Mail service is notavallable for requires the slgnee to be at least 21 years of age 6.$
<br /> international mail. and provides delivery to the addressee specified Total Postage & Fees:
<br /> ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
<br /> with Certified Mail service.However,the purchase (not available at retail).
<br /> of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
<br /> insurance coverage automatically included with a
<br /> accepted as legal proof of mailing,it should bear a
<br /> certain Priority Mad items. LISPS postmark.If you would like a postmark on f- T-`31 pest 3gP 3 ,1 F=ems
<br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your nj ,
<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
<br /> Return receipt service,which provides a record Certified Mad receipt,detach the barcoded portion
<br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
<br /> You can request a hardcopy return ItAreceipt or an appropriate postage,and deposit the mailpiece.
<br /> v F hardcopyr urn ceipt —
<br /> iiean�rr f1 Dom 215,Denver,CO 80203 -
<br /> Rece/pg attach PS Form 3811 to your mailpiece; IMPORTANT:save this receipt for your records. "-
<br /> Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047
<br /> USPS TRACKING#
<br /> 1�;', ° .{',' _ ..0,.�'<�.'.f ,k-_f .•k.;... i.x "`a..�t».,.M,,.o,..�. '�Ifgl Xla� x.,...' ,.
<br /> }'I"�OS.tggGe t�t" n�xfi7,.d.aatd
<br /> 9590 9402 2053 L132 7875 09
<br /> United States •Sender:Please print your name,address,and ZIP+411 in this box*
<br /> Postal Service
<br /> State of Colorado
<br /> Department of Natural Resources
<br /> Division of Reclamation, Mining& Safety
<br /> 1313 Sherman Street, Suite 215
<br /> Denver, CID 80203 Spec ��w)
<br /> File
<br />
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