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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X � �' 1L ❑Agent <br /> so that we can return the card to you. ❑Addresse <br /> IN Attach this card to the back of the mailpiece, B. Recei7l by(Printed Name) C. Date of Deliver <br /> or on the front if space permits. ) G r G v }J - (" - t <br /> 1 Article Addressed to- D. Is delivery ddre s different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> ,-Tom Eatweil <br /> Bank of the San Juans, Division of Glacier Bank <br /> 2452 Highway 6 and 50 <br /> Grand Junction, CO 81505-1108 <br /> 3. Service Type ❑Priority Mail Express,9 <br /> ii���I; (i��!� Adult Signature C Registered Mail- <br /> Adult Signature Restricted Delivery ❑Registered Mad Restric <br /> 9590 9402 l8o kCertifiedMad& Delivery <br /> Z 75 7542 9/ ❑Certified Mad Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Trans`er from service label) -1 Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> ❑Insured Mail ❑Signature Confirmation <br /> 71116 2710 0000 2 9 6 S 0716 El Insured Mail Restricted Delivery Restricted Delivery <br /> (over 5500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receip <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of the Ce,,bfr'edMaA,Labeq. for an electronic return receipt,see a retail <br /> ■A unique identifier for yo lece. oaate for assistance.To receive a duplicate CERTIFIED MAILP RECEIPT <br /> n I <br /> ■Electronic verficatl efdeilvery or attempted return t for no additional fee,present this Only <br /> delivery. CCpppp(r ��m USPS®-postm r edCerthed Mail receipt tothe <br /> ■A record of delivery(inll8trtrlg Xle retail ass ciate. CD _ <br /> signature)that is retained by the Postal Service- -Restricted delivery ervice,which provides <br /> for a specified period.FII2 ) 0 U-fi Very to the ad essee specified by name,or <br /> e addre s authorized agent <br /> Important Reminders: Adult signatO service,which requires the - <br /> ■You may purchase tified Mail service with S gnee to at least 21 years of age(not <br /> First-Class Mad®,Fir -Class Package Service�® A� v, at retail). rU Certified Fee: <br /> or Priority WHO service, <br /> ignatureresMcteddeliveryservice,which o Return Receipt Fee: S2. <br /> ■Certified Mail service is notAvailabie for req Tres the signee to be at least 21 years of age <br /> international mail. and provides delivery to the addressee specified <br /> ■Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent Total Postage & Fees: $6.6 7 <br /> with Certified Mad 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 accepted as legal proof of mailing,it should bear a <br /> certain Priority Mail Items. USPS postmark If you would like a postmark on i1 1 t n 1 fl n 7 P n c t n ri n (;n a 7 <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your n <br /> endorsement on the mailpiece,you may request Certified Mail Rem at a Post Oirtce'"for <br /> the followingservices: 5 <br /> postmarking If you don't need a postmark on this a Tom Eatwel I <br /> -Return receipt service,which provides a record Certified Mad receipt,detach the barcoded portion � <br /> of delivery(including the recipients signature). of this label,affiixitto the mailpiece,apply Bank of the San Juans, Division of Glacier Bank <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. <br /> electronic version.For a hardcopy return recei 2452 Highway 6 and 50 <br /> cReceip—x attac � your ma 1pie� P OOMRr1rMr SavDenver,r.�f�f r girds g y <br /> Grand Junction, CO 81505-1108 <br /> PS Form 3800,April 2015(Reverse)PSN 7530-02.000-9047 <br /> USPS TRACKING# First-=FeeS <br /> PostUSPPerm <br /> 9590 9402 3488 7275 7542 97 <br /> United States •Sender:Please print your name,address,and ZIPW in this box• <br /> Postal Service <br /> State of Colorado <br /> R�G��vE Department of Natural Resources <br /> Division of Reclamation,Mining& Safety <br /> 2 1313 Sherman Street, Suite 215 Spec exT917 <br /> A\\G ver,CO 80203 File e1 0 3* <br /> njuc i (AAA- <br /> irllll�lrillirilllrillrli'IIIItlrlrrillili�Illrji�riiiijrliiriil; <br />