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�ENDER. COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY, <br /> ■ Complete items 1, 2, and 3.Also complete A Sr ture <br /> item 4 if Restricted Delivery is desired. '�( ❑Agent <br /> e Print your name and address on the reverse ❑Addresse <br /> so that we can return the card to you. Recer�by(Prinrad-Name) G. date of Delivai <br /> ■ Attach this card to the back of the mailpiece. + <• r l. <br /> or on the front if space permits. <br /> -- D, Is delivery address different from item 1? ❑Yes <br /> 1 Article Addr::s:ed to If YES.enter delivery address beiaw, ❑ No <br /> Bill Tezak <br /> Colorado Quarries Inc <br /> 270 J C 1 Sth St 3. Service Type <br /> X Certified Mail ❑ Priority Mad Express" <br /> Canon City, CO 81212 ❑ Registered ❑ Return Receipt for Merchandi: <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2 Article Number(Transfer from service label) 71114 2120 0001 7 8 8 5 71 5 0 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERtdtlass <br /> e <br /> IL e <br /> • Sender: Please print your name, address, and ZIP+4®in this bax• <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 ERK <br /> File J 18 Z 200 <br /> 1 1111111111H Il'il"il!1n,1'i11 Jill <br />