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SENDER:COMPLETE THIS SECTION i; COMPLETE THIS SECTION ON DELIVERY <br /> ■ CCanr,l-t Ir r,r 1 _ end A Prature <br /> ■ Print your name ana address on the reverse <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailplece -3: te eived by(Printed Name)'_ C Date o Dey'; <br /> or on the tront If space permits. <br /> 1 Arbrh Gddre�­j to ----------- D Is d,4vPry aNciress diffei,n:t from it-r,1? Yes <br /> S <br /> i <br /> clr-PQtf cr'_4V_,cc, <br /> ���3 <br /> F) a-t"T 0" - <br /> ;)t �_ `� �� ? I O Certified 1,0 ReStrictea Delivery <br /> Gnllect or,Delivery P1e,ch;rid: <br /> 7016 2 710 0000 2965 2666 R Sti 7 ar Restrc t,c1 Dehvery <br /> Certified Mail service provides the following benefits: U.S. Postal Service <br /> ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retailCERTIFIED - RECEIPT <br /> ■A unique identifier for your m' e-- associate for assistance.To receive a duplicate D <br /> ■Electronic verification of plrveiy or_attempted,- return receipt for no additional fee,present this _t] • • <br /> delivery. , USPS®-postmarked Certified Mad receipt to the <br /> ■A record of deS retail associate. u <br /> signature)that is r fined by a Postal Service- �icted delivery service,which provides J <br /> for a specifie d ivory to the addressee specified by name,or <br /> IF # a—V thgaddressee'sauthorizedagent L <br /> important Remigders: signature service,which requires the pT l <br /> •You may purchass Certified Mail service with Anee to be at least 21 years of age(not '�- <br /> First-Class Mad®,First-Class Package Service" available at retail). I ti y <br /> or Priority MaP service. -Adult signature restricted delivery service,which <br /> ■Certified Mad service is notavailable for - requires the signee to be at least 21 years of age �� <br /> international mail. ......... <br /> and provides delivery to the addressee specified <br /> ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent ED <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 LD <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a a <br /> certain Priority Mad items. USPS postmark.If you would like a postmark on r r <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailplece,you may request Certified Mail item at a Post Office-for 5 <br /> the following services: 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 -a <br /> of delivery(including the recipient's signature). of this label,affix it to the mailplece,apply <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailplece. <br /> electro t <br /> ` t s �e�E Room 215,Denver. CO 80203 <br /> comple <br /> Receipt attach PS Form 3811 to your madpiece; IMPORTANT:Save this receipt for your records. C7 C3 <br /> PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7817 81 <br /> United States •Sender: Please print your 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_ <br /> File?- <br /> 11IfIIIIfirlrJrlrrril11111111111111111111riiif ijiIjiiir►riiriiifi <br />