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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X /% ❑Agent <br /> ■ Print your name and address on the reverse ❑AddressE <br /> so that we can return the card to you. B. Received by(Printed Name) <br /> ■ Attach this card to the back of the mailpiece, !/ <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> 3 �&4t 3 GR <br /> C/ Co v o � 3. Service Type <br /> 42tertified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandis <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4® in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> I✓Il.ia►ecal'b g).q arn. <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203 SpecF� <br /> File lvdll;4110 <br /> lul�l�ii+il�illilll,li►ii'll►'f+ii�iiliiili,tii���i►liii�iil,+,t <br />