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SENDER: <br /> Complete Items 1,2,and 3. A. Sig ature <br /> Agent <br /> ■ Print your name and address on the reverse X /4 y ❑ <br /> so that we can return the card to you. ' ! ` �`"/� ❑Addresse <br /> ■ Attach this card to the back of the mailpiece, E� Receli d by(P'biw Name) C. Date of Deliver <br /> or on the front if space permits. l4 l` Y , <br /> 1. Article Addressed to: D. Is delivery address different from Item 17 ❑Yes <br /> Mr, Richard A. Hansen If YES,enter delivery address below: p No <br /> Burr Oak Investments. LLC <br /> Garnet Mesa Investments. LLC <br /> P O Box 492 <br /> Delta,CO 81416 <br /> �� 11 II I 3. Service Type ❑Priority Mad s®Expres <br /> � �� ❑Adult Signature ❑Registered MailW <br /> 11 111 ❑Adult Signature Restricted Delivery ❑Registered Mail Restric <br /> 9590 9402 34887275757946 ❑CertlfiedMall© Delivery <br /> Certified Mad Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signature Confirmation <br /> 7016 <br /> 7 Q El Insured Mad ❑Signature Confirmation <br /> —r 0 0 0 2 9 6 5 3 8 7 8 Insured Mad Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return ReceiF <br /> Certified Mail servi proyides-the following benefits: <br /> ■A receipt(this portion o e -1,ed Mail label). for electromc return receipt,see a retailPostal <br /> ■A umqu identifier you�r Wilp' assocl a for assistance.To receive a duplicate <br /> ■Electr ion of dP�e m ed return r ceipt for no additional fee,present thisCERTIFIRECEIPT <br /> ry marked Certified Mall receipt to the `a <br /> deer ratedFed <br /> ociate, f` <br /> ■A recor h ry(in': <br /> in c s�n� �{� p <br /> Domestic Mail Only <br /> signal <br /> t retal trfrv(ep� Restri delivery service,which provides <br /> e addressee specified by name,or r*l <br /> for a specifi perio a addressee's authorized agent <br /> Im ortant Re ' ers: Ill Z SO I I <br /> p igneetobe tlest21ye years <br /> age <br /> � U.I to I,U oz. r'OSLB E <br /> ■You may purchase d Mail service wi signee to be at least 21 years of age(not g J U.4 <br /> First-ClassMalP,First-Class ervicl available at retail). Certified Fee: S3.4 <br /> of Priority Mad service -Adult signature restricted delivery service,which ru <br /> rCal Mail service isnotavailablefor requires the signee to be at least 21 years of age o Return Receipt Fee: 52.7 <br /> international mall. and provides delivery to the addressee specified <br /> ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent <br /> with Certified Mad service.However,the purchase (not available at retail). Q Total Postage & Fees <br /> of Certified Mall service does not change the ■To ensure that your Certified Mall receipt is $6.6- <br /> Insurance coverage automatically Included with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mad 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 <br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office"'for -_ <br /> the following services: ti al yr <br /> g postmarking.if you don't need a postmark on this <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion 5 <br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply D Mr. Richard A. Hansen <br /> You can request a hardcooy return receipt or an appropriate postage,and deposit the mailpiece. <br /> electronss�I�o�y Room 215,Denver,CU 30203 Burr Oak Investments, LLC <br /> complete rm s 1 bllm�s'tic� - Garnet Mesa Investments, LLC <br /> Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. <br /> P O BOX 492 <br /> Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 Delta,CO 8 141 6 <br /> USPS TRACKING# <br /> First- <br /> P Iag d <br /> i G-10 �-A <br /> 9590 9402 3488 7275 7579 46 <br /> United States •Sender:Please print your name,address,and ZIP+4® idpt ° <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, CO 80203 Spec S <br /> File wt 201z 02-4 <br />