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�rlail/l�la�lll/:1l <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety y <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 7016 2140 0000 2345 7202 <br /> Denver,CO 80203-2243 <br /> 7016 2140 0000 2345 7202 <br /> 341300000 n y i En m o <br /> g ❑❑❑❑❑m m <br /> L Cf) <br /> m; a; • m �_ 3 <br /> N m m A m d , • <br /> � r a m n y <br /> a _ <br /> o $ 8- <br /> 0 00;U <br /> 8 g s <br /> Qi 0 -4 m -< <br /> 0 z <br /> Orr , <br /> tZn C <br /> O DZ <br /> 0 � g <br /> 2 w <br /> m R. <br /> j <br /> COMPLETE •N COMPLETE THIS SECTIONON <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 ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? El Yes <br /> If YES,enter delivery address below: ❑No <br /> MR STANLEY C JONES <br /> COLORADO ALABASTER SUPPLY <br /> PO BOX 548 3. Service Type <br /> FORT COLLINS, CO 80522 ❑Certified Mail® ❑Priority Mail Express" <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article 7016 2140 0000 2345 7202 <br /> (rransfe <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />