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I <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Is Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X " ❑Agent <br /> so that we can return the card to you. ill < (°/�t�t ❑Addresse <br /> ■ Attach this Card to the back of the mailplece, B Receiv y(Printed-Name) C. Date of Deliver <br /> _ or on the front if space permits_ <br /> 1, Article Addressed to, D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Mary Meyers <br /> PO Box 274 y <br /> Rackerby, CA 95972 <br /> 3. Service Type L Priority Mad Expresso <br /> J Adult Signature ❑Registered Mad'" <br /> (I I'!�l'�I I��I �I I I !I ( 'I iI f I! (II� ❑Adult Signature Restricted Delivery ❑Registered Mail Restnc <br /> Certified Mail@ Delivery <br /> g�9� 9��2 3488 71�J 7��� 27 L Certified Mad Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 Article Number(Transfer from service label) Collect on Delivery Restricted Delivery El Signature Confirmation <br /> Mail ❑Signature Confirmation <br /> 7016 2?1 0 0000 2 9 6 5 O 5 01 v Mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 r,X Domestic Return Receip <br /> USPS TRACKNG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 94021' A 4275 7550 27 <br /> United States •Sender:Please print your naMe,address,and ZIPW in this box* <br /> Postal Service <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 Spec <br /> File ^qji Ne- <br /> r <br />