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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A, Signature <br /> ■ Print your name and address on the reverse x ❑Addint <br /> so that we can return the card to you. _ [�f Adaressee_ <br /> ■ Attach this card to the back of the mailplece, B• Received by(Printed Namz) C. pate of Delivery <br /> or on the front if space permits. `_ f <br /> 1. Article Art ir...a 1 t. D. Is delivery address different from item 1?' ❑Yes <br /> If YES,enter delivery address below; ❑No <br /> Mr. Rau(Vasquez <br /> Blue Mountain Stone, Inc. <br /> 4168 LJte Hwy <br /> Longmont,CO 80503 <br /> 3. Service Type L Pr;onty Mail Expres;a <br /> ' Adult Signature ❑Registered Mail"^ <br /> Adult Signature Restricted Delr,ery D Registered Mad Restricted <br /> ❑Certified Mali3 Delivery <br /> - Certified Mail Restricted Delivery Cl Return Receipt for <br /> a <br /> 9590 40 25-,3 6306 1372 37 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from seVlce label) Collect on Delivery Rest,icted Delivery ❑Signature Confi mation'" <br /> Insured Mad C Signature Confirmation <br /> ?r D 1 6 2140 0000 2346 0851 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> USPRMPMV, <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1372 37 <br /> Alted 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 /> ivision of Reclamation, Mining&Safety <br /> 313 Sherman Street, Suite 215 <br /> enver,CO 80203 Spec YT`L <br /> File vn lRYfv75 <br />