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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE T141S ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse ❑ant <br /> so that we can return the card to you. X— _ Addressee <br /> ■ Attach this card to the back of the maiipiece, B Received by(Printed Name) C. Date of Delivery <br /> _ or on the front if space permits. <br /> 1. D. Is delivery address different from item 1? ❑ Yes <br /> If YES,enter delivery address below: ❑ No <br /> Mr. Raul Vasquez <br /> Blue Mountain Stcne, Inc. <br /> 4168-Ute Hwy <br /> Longmont,CO 80503 <br /> 3. Service Type L,Pnonty glad Express) <br /> 33 u Adult Signature G Registered Mail" <br /> {{ (I I Adult Signature Restricted Derr cry D Regis+ered Mail Restricted <br /> ❑CertifiedMa!VJ Delivery <br /> 9590 102 `L'S _j E?)b 3]� 3] =Certified Mail Restricted Delivery C Return Receipt for <br /> ❑Collect c•i Delivery Merchand se <br /> 2. Article Number(Transfer from service label) C Collect on Delivery Restricted Delivery n Signature Confirmation- <br /> ',Insured Mal E Signature Confirmation <br /> 7016 2140 0000 2346 0851 L]Insured P to l Restricted Delivery Restricted Delivery <br /> (o,,er S1001 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> USP <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1372 37 <br /> Jnited States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> _.postal Service tate of Colorado <br /> epartment of Natural Resources <br /> ivision of Reclamation, Mining&Safety <br /> 313 Sherman Street, Suite 215 <br /> enver, CO 80203 Spec 'i1 rn4,- <br /> File yii 0y(y25 <br />