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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. �fl f`/�t f -� ❑Addresse <br /> ■ Attach this card to the back of the mailpieee, B. Receiv y(Prmte ame) C. Date of Deliver <br /> or on the front if space permits. <br /> 1. Article Addressed tn• D Is delivery address ifferent from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Mary Meyers <br /> PO Box 274 y <br /> Rackerby. CA 95972 <br /> 3. Service Type D Priority Mad Expressa <br /> Adult Signature ❑Registered MadTM <br /> ii kAdult Signature Restricted Delivery El Registered Mail Restric <br /> certified Mails Delivery <br /> 9590 9402 3?88 /2 75 7550 2. Certified Mail Restricted Delivery ❑Return Receipt for <br /> Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from servfee label) Collect on Delivery Restricted Delivery 71 Signature Confirmation <br /> Mail ❑Signature Confirmation <br /> 7016 2?10 Q 0 L0 0 2965 O 5 0 1 VJ Mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return ReceiF <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Maid <br /> USPS <br /> Permit No.G10 <br /> 9590 94021' B8 0275 7550 27 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box• <br /> Postal Service <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 Spec <br /> File MA9'NZ <br /> Z rr*tr< <br /> fill{1liil{1�!!1'{{{!'i{1{!!{lilli'{{"!{'li�illll�l�{1tlI11"i{I <br />