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I <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELPIERY <br /> ■ Complete items 1,2,and 3 Also complete A Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X' r-- ❑_Addres,e <br /> so that we can return the card to you, B. Received by(Printed Name) C. Date of Delver <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D Is delivery address different from item 1? ❑Yes <br /> 1 Article Addressed to If YES,enter delive Aro7syl El No <br /> O - 9 <br /> 0 ►� <br /> ,v , <br /> y . , `• 3. Service Type �• <br /> C�Certified Mad° ap7ority M.44Express <br /> I b Registered ❑ RetUrff_T eceipt for Merchandie <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2 Article Number 7014 0150 0000 9138 7352 <br /> (T-iansfer from service label) <br /> PS Form 3811, July 2013 Domestic Return Receipt <br /> Postal <br /> Certified Mail Provides: <br /> CERTIFIED�l <br /> 11 Ln (Domestic <br /> ■ A mailing receipt Q rJ-y <br /> ■ A unique identifier for your mailpiecet F3 , l �' <br /> ■ A record of delivery kept by the Postal Se a for two ye ' <br /> Important Reminders: ro <br /> ■ Certified Mad may ONLY be combined with First-Class Mad®or Priority Maile. M <br /> ■ Certified Mail is notavailable for any class of international mail Certified Fee:�-- S3.4a <br /> ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For Return Receipt Fee: S2 75 <br /> valuables,please consider Insured or Registered Mail. <br /> ■ For an additional fee,a Return Receipt may be requested to provide proof of c Per rr <br /> delivery.To obtain Return Receipt service,please complete and attach a Return C:3 'E,!D';er Total Postage & Fees: <br /> Receipt(PS Form 3811)to the article and add applicable postage to cover the � 56.67 <br /> fee Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for pesc,�otec <br /> P P q a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is Fr,�s9r- <br /> � n I t^ <br /> regwred' �% _ Cf1 d7 <br /> is For an additional fee, delivery may be restricted to the addressee or T ro'Postaye 3 5 <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the <br /> endorsement"Restricted Delivery". :Sens ro <br /> S <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 /> ---- <br /> receipt is not needed,detach and affix label with postage and mail. F_ -r-10 Bcn n <br /> IMPORTANT: Save this receipt and present it when making an inquiry. 'rare z; <br /> PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 <br /> .rr rr. <br /> DBMS-1813 Sherman St Room 215,Denver,CO 8020 <br /> See Reverse for Inshucifia, <br /> • rrr-•rxu..r"t r <br /> UNITED STATES PO8TAL_SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> ` Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+40 in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Room 215 t <br /> Denver,CO 80203 Spec AM C <br /> File il�jq a-105 <br />