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SENDER�COMPLETE THIS SECTION COMPLETE THIS SECTION ON <br /> ■ Complete items 1, 2,and 3.Also complete A Sr ture <br /> item 4 if Restricted Delivery is desired. -'`I .t ❑Agent <br /> ■ Print your name and address on the reverse I ❑Acdresse <br /> so that we can return the card to you Recer�by(PnnredName) C Date of Dehei <br /> ■ Attach this card to the back of the ma(Iplece, <br /> or on the front if space permits. <br /> D. Is delivery address tI ferent from item 10 ❑Yes <br /> 1 Article Addressed to. If YES.enter delivery address belovr ❑ No <br /> Bill Tezak <br /> Colorado Quarries Inc <br /> 270 S 15th St 3. Service Type <br /> X Certified Mail ❑Priority Mail Express"' <br /> Canon City, CO 812112 ❑ Registered ❑ Return Receipt for Merchandl: <br /> - ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2 Article Number 7 014 2120 0001 7885 7153 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL PI <br /> 1 <br /> e <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 Spec LRK <br /> File ilf Z 200 <br /> iaijo,,,-i Lp" <br />