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COMPLETE THIS SECTION ON DELIVERY <br /> SENDIER:COMPLETE THIS SECTION <br /> ■ Complete item s 1,2,and 3. A. Si n ture^ <br /> ■ Print your name and address on the reverse X � (�� y -�_ ❑Agent <br /> E�Addressc <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mallpiece, B. 13 celved b (Print d Name) 0. to of Delive <br /> _ or on the front if space permits. C GT _/�a�T1 / <br /> 1. Article Addressed to: !^ D. Is delivery address different from Item 1? ❑ Yes <br /> If YES,enter delivery address below: ❑ No <br /> Marilyn Anderson <br /> 42 Mining Company Ltd <br /> 300 E.Commerce St. <br /> Jacksonville,TX 75766 <br /> 3. Service Type D Priority Mail l <br /> II I I If ='.Adult Signature ❑Registered Mail l <br /> Adult Signature Restricted Delivery O Registered Mail Restr;c <br /> , <br /> 111 11111111111 111 Ili !!! 11111111 1111 1111 a,Certified Maim, Delivery <br /> 9590 9402 2 543 630E 1352 19 ❑Certified Mail Restricted Delivery El Return Receipt for <br /> Collect on Delivery Merchandise <br /> 2, Article Number(Transfer from service label} Collect on Delivery Restricted Delivery ❑Signature Confirn at'or <br /> Insured Mail ❑Signature Corhimatior <br /> 7 016 2140 0000 2345 7 813 Insuredover Mad Restricted Delivery Restricted Delivery <br /> ( S5001 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receif <br /> Ill TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1352 19 <br /> United States I •Sender:Please print your name,address,and ZIP+4®In this box• <br /> Postal Service 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 7r­fi,'i <br /> File ji1 ,-77ils% <br />