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SENi , �THISISECTION o pomPLETEll II SECTIONON e <br /> ■ Complete items 1,2,and 3.Also complete A. Si ure / <br /> Iiiiigent <br /> item 4 If Restricted Delivery is desired. X 11 ddre se <br /> ■ Print your name and address on the reverse ❑ dre <br /> so that v✓e can return the card to you, B Recer ed y frinted N me! CDate f D ivei <br /> IllAttach this card to the back of the mallpiece, l �e <br /> or on the front if space permits. <br /> Is delivery address d,f+erent from it 1 Yes <br /> 1, Artic,e Addressed to, If YES,enter delivery address below' ❑ No <br /> 4- <br /> t t 1; <br /> } 1 3 Service Type <br /> tY Certified Mail- ❑ Priority Ma,l Express'. <br /> •• <br /> ❑ Registered ❑ Return Receipt for Merchandr: <br /> ' ❑ Insured Mail ❑ Collect on Delivery <br /> -t Restricted Delivery?(Extra Fee) ❑Yes <br /> 2 Article Number 7014 0150 0000 9138 7376 <br /> (Transfer from service lab& <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> U.S. Postal ServiceTM <br /> Certified Mail Provides: CERTIFIED MAIL. RECEIPT <br /> ■ A mailing receipt FIB@ �6a _r (Domestic Mail Only;No Insurance Coveragle Provided) <br /> ■ A unique identifier for your mallpiece <br /> m „. <br /> ■ A record of delivery kept by the Postal Service for two years _ <br /> i <br /> Important Reminders: 'I_---- _---__-----_-• _______ .- -- --,_ -- _--- --- -- -- <br /> ■ Certified Marl may ONLY be combined with First-Class Marle or Priority Mail®. m <br /> ■ Certified Mail is not available for any class of international mail. P stage ' <br /> ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mad. For r U.r LW i.0 QC. <br /> valuables,please consider Insured or Registered Mad. Certified Fee: S3.4 t <br /> ■ For an additional fee,a Return Receipt may be requested to provide proof of o Return Receipt Fee: S2.7 F• <br /> delivery.To obtain Return Receipt service,please complete and attach a Return <br /> Receipt(PS Form 3811)to the article and add applicable postage to cover the <br /> fee Endorse mallpiece"Return Receipt Requested".To receive a fee waiver for <br /> a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is o Total Postage & Fees: 56.6 <br /> required. <br /> L1 <br /> ■ For an additional fee, delivery may be restricted to the addressee or .. <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the O ' <br /> endorsement"Restricted Delivery". - <br /> ■ If a postmark on the Certified Mail receipt is desired,please present the arti- <br /> cle at the post office for postmarking. If a postmark on the Certified Mail <br /> receipt is not needed,detach and affix label with postage and marl. Stree' 4pr he <br /> PO 3c „ <br /> IMPORTANT:Save this receipt and present it when making an inquiry. c1; sr,ite ZF"$ <br /> PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 -- <br /> tr►.�d�-`03�s�Y�elrlldfl J1. Kill i'll i flier"10 CV t1Ultl3 <br /> PS Form 3800,August 2006 See Reverse for Instructio.- <br /> UNITED STATES POSTAL SEPWCE ry. <br /> .,' First-Class Mail`. . . <br /> ••:.. P0stage'&f"s Paid. <br /> Sender: Please print your name, address, and ZIP+4®in this box- <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> DIVISION OF RECLAMATION,MINING&SAFETY <br /> 1313 SHERMAN STREET,SUITE 215 <br /> DENVER,CO 80203-2243 <br /> Spec.jm <br /> File �-C'�1� <br />