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SENDER.:COMPLETE THI�sECTIQN COMPLETE Tli SOC77ON ONDEYV�eRY <br /> • complete iterf-iv I P an,j 3 A S,(inat�ire <br /> • Print your name and addre-s an the reverse X <br /> so that we can rturn tn& :i rd to you <br /> • Attach this card to the ba k of the mails;ii B Recelved,by(R,;nte,!Name) C. Date of Dyli,a <br /> or on the front if sp'ac e permits <br /> Mr. Mason King <br /> P 0 Box 68 <br /> Cope, CO 80812 <br /> C) Y <br /> 9590 9-11f)" _1053' 7828 01 1 <br /> O:;cirer flail Figs ;re,,AG=J­ , F,,tw ri R 1 T <br /> �­11, L) -1 _j <br /> ins,,r� <br /> 7016 2710 0000 2 965 -0 815 1 1 nairei-i Niaii F­,ett,,c,_ct <br /> -L-Y-1 LILL <br /> Dofn,,,v,,Pist,,,,Pr <br /> Certified Mail service provides the following benefits: <br /> •A receipt(this portion of the Certified Mail labi for an electronic return receipt,see a retail • <br /> •A unique identifier for your mailplece• associate for assistance.To receive a duplicate <br /> •Electronic verification ofreturn receipt for no additional fee,present this <br /> USPS®-postmarked Certified Mail receipt to the Lr <br /> delivery. e <br /> delivery <br /> retail associate. <br /> •A record of 4t -�7 <br /> Servi_ ffMMM77WIce,which provides t:0 <br /> signatu that retained by the Postal Z a-=1 _71 M11 Mao., <br /> u si <br /> e <br /> 'a r i% <br /> for a s cified per 1-�i, td.�eXe'ryvt.the addressee specified by name,or <br /> d. emirs <br /> to th addressee's authorized agent. <br /> perf <br /> IMPO n emin e6i# "i '911atu—MMwhich requires the L:_1 <br /> pu, Ce to <br /> se Certified Mail service�Wth be at least 21 years of age(not <br /> •You may pu _Z <br /> Service®, <br /> 'Jak <br /> First-class Mail , t-Class Package Service8, a liable at retail). <br /> in.inly M I. , <br /> Adult <br /> s <br /> e <br /> A <br /> or Pnonly Mad®serve �dult signature restricted delivery service,which <br /> s . n <br /> •Certified Mail service Is not ava requires the signee to be at least 21 years of age <br /> international mail. and provides delivery to the addressee specified <br /> •Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent r= <br /> with Certified Mail service.However,the purchase (not available at retail). C jr <br /> of Certified Mail <br /> service does not change the ■To ensure that your Certified Mail receipt is <br /> Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mail items. USPS postmark.It you would like a postmark on <br /> •For an additional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for C'- <br /> the following services: postmarking If you don't need a postmark on this FU <br /> Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion <br /> of delivery(including the recipient's signature). of this label,affix it to the malpiece,apply __n <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mai 1piece. -:1 Mr. Mason King <br /> electronic version.For a hardcopy return receipt C:3 <br /> Reccomplete PS Form 3811,Domestic Return P 0 Box 68 <br /> Cope, CO 80812 <br /> Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 <br /> -14 <br /> USPS TRACKIING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-V <br /> 9590 6132 7828 01 <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 /> Divition of Reclamation,Mining&Safety <br /> m4na" 94034am <br /> 1313 Sherman Street, ROOM 21S Spec <br /> Denver,CO 80203 File. I z",3t'l <br />