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■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressi <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delive <br /> ■ Attach this card to the back of the maiipiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> F <br /> Jay Wagner <br /> Wagner Rock Pit <br /> 1850 E. 1 st St. <br /> Craig.CO 81625 <br /> 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express— <br /> ❑Registered ❑Return Receipt for Merchandis <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2Z2� ❑0�1 7885 671,2 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> LISPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+40 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 M-19-9ao1a <br /> RTB Letter <br /> AJW GRM ACY <br />