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SEC <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS TION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse x LRl Agent <br /> so that we can return the card to you. AddressF <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Deliver <br /> or on the front if space permits. b, V= t j(t .z I <br /> C�" /_ l i <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes <br /> If YES enter de;vvery add,ess below: t No <br /> Mr. Raul Vasquez <br /> Blue Mountain Stone. Inc. <br /> P O Box 946 <br /> Lyons, CO 80540 <br /> + !i! 3. Service Type D Pnonty Mwl E,preas <br /> El Adult Signature ❑Registered flail"" <br /> Adwt Signatwe Restricted Delivery ❑Registered Mid R��r,c <br /> 1 Certified Marla Delivery <br /> 9590 9402 2 543 6306 1372 13 ❑Certified Mad Restricted Delivery ❑Return Rece,pt for <br /> 71 Collect on Delivery Merchandise <br /> 2. Article Nwnber(Transfer from service label) Collect on De,i�ery Restricted Delivery o Signature Confirrnation <br /> Insured Mail u S. <br /> gnature Ccnr rmation <br /> 6 2140 0000 2 3 4 5 1 nsured Mad Restricted Delivery Restricted Delver/ <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receir <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1372 13 <br /> United States •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/"f- <br /> ��8 i✓►G 2- File ✓Was-;hz <br /> rilliiIisiilIIIIIIIIIII,IIIi' <br />