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<br /> ■ Prmt your rlarne ano address on the reverse X Addrea
<br /> so that we can return the card to you. t-—I• " ❑
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<br /> ■ Attach this card to the back of the malloiece
<br /> Q..,Received hL(Printed Namel C. D to of gelive
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<br /> or on the(runt it space permits. - t '�1 ', L 1���st_1C1 J-
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<br /> Mr. Mason King
<br /> P O Box 68 Cope, CO 80812 1.
<br /> r, ray r :,i
<br /> � 1 ��/'a 6�% _G ert:4ed 1.1atl Rcstricr. U:Leary �:Returr,Reue,pt ror
<br /> Li Collect on Del:ve_ry Merchandise
<br /> -- collect on Deer ery Res'n tea D?I:e _i 5 gnatr:,e^cn ura=« r
<br /> s--wce lateh z _Sgcat,''
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<br /> 7016 2 710 0000 2904 6540 nsuea i,:ai Re,tnctea Delvf ry Restricted Del e,ti
<br /> ladar S500) _
<br /> Pc Fern, 38,1 7.7 2015 ocN-530-02-000-9053 Domesnc Renirn Reca':
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<br /> Certified Mail service provides the following benefits: CERTIFIED MAIL"ll"'RECEIPT,
<br /> ■A receipt(this portion of the Certified Mall IabeQ. for an electronic return receipt,see a retail
<br /> ■A unique identifier for your maipiece.- _ associate for assistance.To receive a duplicate s
<br /> amstic Mail Only
<br /> ■Electronic v f a emi return receipt for no additional fee,present this w „
<br /> delivery. USPS®-postmarked Certified Mad receipt to the
<br /> ■A record de ivery(includinghe recipien s
<br /> signature) is re ned by the Postal S Ice" -Be 'cted delivery service,which provides 80.a�
<br /> fora spec' iI ✓Y► QflQ3 deli eryto the addressee specified byname,or 2.1 to 3.0 oz. Postage
<br /> s authorzed agent. O $3.4:
<br /> Important minders: m ladl�p�j Adu signature service,which requires the = Certified Fee: �2 7,
<br /> ■You may pure se Certified Mail service with sicy(ee to be at least 21 years of age(not �
<br /> Frst-ClassMai First-Class Package Service® adableatretad). Return Receipt Fee:
<br /> or Priority Mail®s 'e. r C
<br /> ��- �-Adult signature restricted delivery service,which
<br /> ■Certified Mail service is foe--- " 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 /> IN Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent
<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 Mad items. LISPS postmark If you would like a postmark on
<br /> ■For an additional fee,and with a proper this Certified Mad receipt,please present your �J S
<br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office-for -
<br /> the following services: 13
<br /> -Return receipt service,which provides a record postmarking.r you don't need the
<br /> on this
<br /> P P Certified Mad receipt,detach the barcoded portion _- Mr. Mason King
<br /> Of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
<br /> Yq{�r�r� e �yq�pp retum ree�yQt p 1I piece. P O Box 68
<br /> elWfbllaM�r�fht �7"K'33`,'�, f p Cope. CO 80812
<br /> complete PS Form 3811,Domestic Retum
<br /> Receipt,attach PS Form 3811 to your madpiece; IMPORTAN'h Save this recelpt for your records
<br /> Ps Form 3800,Apol 2015(Reverse)PSN 7530-M-000.9047
<br /> USDA G; #
<br /> First-Class Mail
<br /> Postage&Fees Paid
<br /> USPS
<br /> Permit No.G-10
<br /> 9590 9402 2053 6132 7874 62
<br /> United States •Sender:Please print your name,address,and ZIP+4®in this box*
<br /> Postal Service
<br /> tate of Colors&
<br /> epartment of Natural Resources
<br /> ivision of Reclamation,Mining& Safety
<br /> 313 Sherman Street, Suite 215
<br /> enver,CO 80203 Spec b-Z6
<br /> 94401 PW LJC.. j,,,,4ejw1 File vH49,00 W16
<br /> l�l�rlrt�,lllilrjj,ril�'1I11'1�)il�lt}111�111=1itr�lriJlt�l�littJ
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