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u it <br /> COMPLETE DEU <br /> SENDER.COMPL9.TE THIS SECTIOW THIS SEC770M ON WAY <br /> ■ Complete items 1, 2,and 3.Also complete A. Sr n t r <br /> item 4 if Restricted Delivery Is desired. X � �- ❑Agent <br /> ■ Print your name and address on the reverse ❑_ AddressE <br /> so that vie can return the card to you B. cei� d ( n d Name) ' I C, to of D uve <br /> ■ Attach this card to the back of the mailpiece, I\ <'w <br /> or on the front if space permits. <br /> D Is delivery address different front item 1'? LJ Yes <br /> 1 AMClc Addressed to. If YES,enter delivery address b lo: ❑ No <br /> r <br /> 3 Service Type <br /> U Certified Mail ❑ Priority Mail Express ' <br /> ❑ Registered ❑ Return Receipt for Merchandt: <br /> ❑ Insured flail ❑ Co lect en D,1,ery <br /> 4 Restnctad Delivery?(E tra Fee) ❑Yes <br /> 2 Article Number 7014 0150 0000 9138 7390 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Rece,o` <br /> UNITED STATES POSTAL SEWA <br /> f <br /> ���'=e' _�•mmi. „fie• <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. <br /> File '�`�� / <br />