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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can retllrn the card to you. ❑Addresse <br /> ■ Attach this card to the back of the mailpiece, e ecelved b (P' ed Namme) C. 1to o Deliver <br /> or on the front if space permits. w A G 1-0(� IR 17 O <br /> 1. Article Addressed to: D. Is delivery address different from item 1 ❑ es <br /> If YES,enter delivery address below: ❑No <br /> Mr.Ralph Bell <br /> Castle Rock Construction Company of Colorado,LLC <br /> 6374 S. Racine Circle <br /> Centennial,CO 80111 <br /> I 3 e rvice Type ❑Priority Mail Express(R) <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ReI'IIIIIIIIII(I)IIIIIIIII (I' II IIII'IIIII1 Rtistered Mail Restrict <br /> ee�i aiR gu9590 9402 3488 7275 7597 28 0 Mail Restricted Delivery ❑Return <br /> for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 4271 ❑Insured Mali Restricted Delivery Restricted Delivery <br /> over$500 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipr <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 3488 7275 7597 28 <br /> United States •Sender: Please print vour 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, Room 215 <br /> Denver,CO 80203 Spec-1 t_t� <br /> File <br /> f�,;PNw�tt <br /> 1 <br /> :-� :Yw:M:� If1t11illll}I�i1i111�1�1�lIrliriimillri�'I}rrititrrl{Ililll}llli <br />