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e <br /> � • I • •11 <br /> L. <br /> e Complete items 1,2,and 3.Also complete nature <br /> Item 4 if Restricted Delivery is desired. ` ( El Agent <br /> ■ Print your name and address on the reverse Addresse <br /> so that we can return the card to you. B Received by ed Name) C. Date of Delrrei <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front If space permits. el <br /> D. Is delivery address different from item 1? El Yes <br /> 1 Article Addressed to. If YES enter delivery address below ❑ Na <br /> 3. Service Type <br /> 0 Certified Mail ❑ Priority Mail Express" <br /> ❑ Registered ❑ Return Receipt for DAerchardi, <br /> ❑ Insured Mad ElCollect on Del,,ery <br /> 4. Restr.cted Delivery?(Extra Fee) ❑Yes <br /> 2 Art,cle Number 7014 0150 0000 9138 7383 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Race.pt <br /> UNITED STATES POSTAL SE-ems` ' <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 /> 1313 SHERMAN STREET,SUITE 215 <br /> DENVER, CO 80203-2243 <br /> Spec.2 �C <br /> File -41)',�-��}'(� <br /> !i�l�'!'Iiiltrrillilll!!'�I�lrli��,� !",",lr,ifli!!i!'!f'!!'lli <br />