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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON1 DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the7reverlseX ❑Agent <br /> so that we can return the card to yo i t I - Ca Addressee <br /> ■ Attach this card to the back of the me , B. Received by( rioted Name) C. Date of Delivery <br /> or on the front if space permits. _ <br /> 1. Article Addressed to: D. Is delivery address different from item 1-� M yes <br /> If YES,enter delivery address below• ❑ No <br /> Debbie Gibbs, Vice President <br /> Fort Morgan State Bank <br /> 520 Sherman Street <br /> Fort Morgan, CO 80701 <br /> 3. Service Type ❑Priority Mail E,press-,?) <br /> Adot S;nature ❑Registered Mad"" <br /> 1 II D Adult Signature Restricted Delivery ❑Registered Mad Restricte fkCertifiedMaW3 Delivery <br /> :1 Certified Mail Restricted Delivery ❑Return Receipt for <br /> 9590 9-102 2543 6306 1 368 34 Collect on Delivery Merchandise <br /> 2, Article Number(Transfer from SBNiCe label) Collect on Delivery Restricted Delivery 7-Signature ConfirmatlonT' <br /> Insured Mad C]Signature Cormrmation <br /> 7016 2140 0000 2345 6687 1 Irsured Mad Restricted D=livery Restricted Delivery <br /> over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Dornestic Return Receipt <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1368 34 <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 80203-2243 <br /> J�-t Spec. <br /> i ,c- tvf i9-t7cgq, File <br /> 1 j1i-,illl}i,:ili1 1i11 1�iilil <br />