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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse ❑Agent <br /> ` <br /> so that we can return the card to you. Address <br /> ■ Attach this card to the back of the mailpiece, B. Received by( rimed Name) C. Dat of D li,vve <br /> or on the front if space permits. �/� �� <br /> 1. Article Addressed to: D. Is delivery address different from item 19 Y s <br /> - If YES;enter delivery address below: ❑ No <br /> Mr. Thomas Brubaker <br /> VALCO, Inc. <br /> 9296 Windhaven Dr. <br /> Parker, CO 80134 <br /> ��I II III �I I II IIIII( II III II I I I I III I I I 3. Service Type ❑Priority Mail Express® <br /> 1 ❑Adult Signature ❑Registered MaiIT"^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restric <br /> 9590 9402 2053 6132 7841 26 El Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmatior <br /> ❑Insured Mail ❑Signature Confirmatior <br /> 7 016 2140 0000 2 3 4 5 5826 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form.3811.JUIy 2015 PSN 7530-02-000-9053 Domestic Return Receil <br /> us �twa # <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7841 26 <br /> United States •Sender: Please print your 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,SUITE 215 <br /> DENVER,CO 80203-2243 <br /> & Spec. <br /> ►rnrg7 File <br /> r�l!!!I'I!'I'l'l nllll�lrllrlillllrl��l1'!I!'1llllllllllrll�lllll <br />