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SECTIONSENDER:COMPLETE THIS • ' <br /> i C--alplete item:: 1 % a id 3 <br /> Sonatur� 1 <br /> ■ Print yUur dame and address on the reverse X �- Ll Ayent <br /> so that we can return the card to you _______ ❑Address, <br /> ■ Attach this card to the back of the mallplece, R.celved (Panted Name) Date of Dellve <br /> or on the front rf space permits <br /> _ D ISdell,er,�add"a" F�ntfr,rn Item V ❑YeC <br /> Adam Schultejann <br /> it `_ ., _ .... _... ._.. .._ _• ,_ <br /> 120 85 LLC. <br /> 10925 E. 120th Ave <br /> Henderson, CO 80640 <br /> ,+tlw,Sig��dt�io hEc,�ir�t��L. •oi} _.Reglb'G�eu Hl>u <br /> �1_ _p Ce-ti e'l'(31"J Dell.er, <br /> -19�0 9 t0.' C t)53 r� 3L �8f)a �� 2 liCftltled(vl..11 lKesti iutea Delivery —Rct Jr• Fuel P7 irr <br /> Collect on Delivery Mcrch„urdise <br /> JPrb' �inSfa'f,:"—, es::e!9ren JCollectcnDer.er.R °tr:cr: Dal,.-r, JSgnct.' Comrrru , <br /> r�(jPoali -Syr v--ture'__rt•i ^ <br /> 7 016 2140 0000 2345 9459 rsurr d Mad Restricted Uetivury Restricted Dehver� <br /> (over 5500) <br /> F^ F nrm '11 1 J'-ilv on, PC,PI,SZfi (?" rlrii rrPStic R=turd parr= <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> ; Permit No.G-10 <br /> 9590 9402"hfi#�6132 7803 33 <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 <br /> �WAU dodffi dtg*t <br /> ® M-Doot <br /> �w� ��#cu��iialli��i,ii�►il�I�w�Ji��'�'d�'�' <br />