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COMPLETE • COMPLETE • DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sig ture <br /> ■ Print your name and address on the reverse X+ G (�, 1 L �/� El Agent <br /> so that we can return the card to you. / El Addresse <br /> B. Received by(Printed Na�(ns}•_ Q. Date of Deliver <br /> ■ Attach this card to the back of the mailpiece, �- t� <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery add4�ifferent from item 1? 11 Yes <br /> If YES,enter delivery address below; p No <br /> Valerie Denny <br /> CNA Surety <br /> Western Surety Company <br /> 10375 Park Meadows Dr, Ste 300 <br /> L,jeton. CO 80124-6736 <br /> 3. Service Type ❑Priority Mail Express® <br /> i <br /> ❑nature <br /> ❑Adult Si Registered MaiITM <br /> 9 <br /> i j I ❑Adult Signature Restricted Delivery ❑Registered Mail Restric <br /> •foif Certified Maile Delivery <br /> 9590 9.102 3488 7275 7543 41 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Artirle Ni imher(Transfer from service label) 11 Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> ❑Insured Mad ❑Signature Confirmation <br /> 016 2710 0000 2965 3809 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return ReceiF <br /> Certified Mail service provides the following benefits: U.S. Postal Service <br /> ■A receipt(this p rbon of the �lrrllda{>�,`�for an electronic return receipt,see a retail • <br /> ■A unique ident r m�� iate for assistance.To receive a duplicate <br /> ■Electronic"Hire atlon of delivery or attempted refurn eipCERTIFIED MAIL <br /> Y Tor no addtional fee,present this , <br /> delrve . CC ��{{ USPS®-p tmarked Certified Mail receipt to the <br /> ■A r rd of delfel�tndbd ro�� retail assoc te. CC <br /> sign ure)that Is retained by the Postal Service' Aestrlctea d every service,which provides <br /> for a of <br /> period. delivery to a addressee specified by name,or v.r 4 u r.v <br /> to tilaadtlressere's authorized agent J S 3.4 E <br /> Important Ah signature service,which requires the 1`7-n Certified Fee: <br /> ■You may purchaseCertrfied ai servicewith�w dusigneetobeat least 21 years of age(not Return Receipt Fee: S2 7`E <br /> First-Class Mad®,First-Class Package Service"", available at retail). 'L <br /> or Priority Mail®service. Adult signature restricted delivery service,which <br /> ■Certified Mail service is not available for requires the signee to be at least 21 years of age <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 CD t� <br /> with Certified Mail service.However,the purchase (not available at retail). n n l <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 Mad items. USPS postmark.If you would like a postmark on , <br /> ■For an additional fee,and with a proper this Certified Mad receipt,please present your 3 sta_, rid=:. <br /> endorsement on the mailpiece,you may request Cerbfied Mail item at a Post Office-for <br /> the following services: postrnarking q you don't need a postmark on this Valerie Denny <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion ` <br /> of delivery(including the recipient's signature). of this label,affix it to the madpiece,apply cN A Surety <br /> You can request a hardcopy return receipt or an - <br /> electroni return rece' appropriate postage,and deposit ma 1piece. Westem Surety COmpany <br /> completei0u al nc 91 Room 215,Denver,CO 80203 10375 park vteadows Dr. Ste 300 <br /> Receipt attach PS Form 3811 to your mailpiece; IMP01r itfn:Save this receipt for your records. „.e 1_i 37 5 p.COeado -6736 <br /> Ps Form 3800,April (Reverse)PSN 7530-02-000.9047 [ � ;, o C O �ax.80 124 <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 3488 7275 7543 41 <br /> United States •Sender:Please print your name,address,and ZIP+411 in this box• <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Room 215 <br /> Denver,CO 80203 Spec <br /> File wl <br /> E, <br />