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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the Card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <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 /> Scott Pelino <br /> Pelino, Inc. <br /> 26000 Highway 285 3. Service Type <br /> Buena Vista, CO 81211 ❑Certified Mail' ❑Priority Mail Express'" <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7869 8244 <br /> (Transfer from service <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAIL@ RECEIPT <br /> Dormstic Mail Only <br /> rl.l ru <br /> Q" Qr <br /> co CO Postage $ <br /> r— P- <br /> --_ rq Certified Fee <br /> Im Return Receipt Fee Postmark <br /> (Endorsement Required) Here <br /> O O <br /> Restr cted Delivery Fee <br /> ❑ ❑ (Endorsement Required) <br /> ru ru <br /> nj r.0 Total Postage&Fees <br /> = r Sent To <br /> . r-q r-3 Scott Pelino �Qy <br /> O O �freefeilpt.No., Pelino, Inc. <br /> r- or Po Box No. 26000 Highway 285 <br /> Ciry,State,ZIP+4 - <br /> Buena Vista,CO 81211 <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> 1313 Sherman Street K.om 215 <br /> Denver CO80203-2243 <br /> 341300000 <br /> Scott Pelino <br /> Pelino, Inc. <br /> 26000 Highway 285 <br /> Buena Vista, CO 81211 <br />