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COMPLETEI O i DEUVERY'W <br /> i OTHIS SECTION <br /> • Complete items 1,2, and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. l3 Agent <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you B. Received by(�ted ame1 C. Date of Delive <br /> ■ Attach this card to the back of the mailplece, 1 <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? Y s <br /> 1 Article Addressed to If YES,ertei delivery address belcry <br /> Mr Mark Johnson 3. Service Type <br /> Bestway Concrete Company ❑Certified Mail-- ❑ Priority Mail Express"' <br /> 301 Centennial Dr ❑ Registered ❑ Return Receipt for Merchand; <br /> Milliken,Co 80543 ❑ Insured Mad ❑ Collect on Delivery — <br /> '4. Restricted Delivery?(Extra Fee) ❑ Yes— <br /> 2 (Tticle ransfer <br /> from <br /> 701,6 21r40 0000 2346 1,988 <br /> (Transfer from service <br /> PS Form 3811. July 2013 Domestic Return Receipt <br /> UNITED STATE jLolt%w SERVICE First-Class Mail <br /> 15 N�� 1 Postage&Fees Paid <br /> LISPS <br /> PNI 6 L Permit No.G-10 <br /> • Sender: Please print your name,address,and ZIP+4®in this box• <br /> STATE OF COLORADO n`� M <br /> DEPARTMENT OF NATURAL RESOURCES r�f,� tot <br /> DIVISION OF RECLAMATION, MINING &SAFETY' " <br /> 1313 SHERMAN STREET, SUITE 215 �� <br /> DENVER, CO 80203-2273 <br /> Spec <br /> File# <br /> U <br /> ��i��i����'�'�i�l'f�r��lirl,�)rrtt�I�Ijliifliililililtii'I►t'illl <br />