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COLORADO <br />Division of Reclamation, <br />Mining and Safety <br />DepaTtrnerr of Natural Resm rccs <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2243 <br />343300000 <br />Keith Zimmerman <br />Vista Verde Village, LLC. <br />17449 Hwy 550 <br />Ridgway, CO 81432 <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 Article Addressed to: j <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Keith Zimmerman <br />Bomestic Mail Only <br />Vista Verde Village, LLC, <br />17449 Hwy 550 <br />'d• Service Type <br />❑ Certified Mail¢ <br />❑ Priority Mail Express'" <br />Ridgway, CO 81432 <br />❑ Registered <br />❑ Return Receipt for Marchand se <br />OFFICIAL <br />❑ Insured Mail <br />© Collect on Delivery <br />i f��f�//► I/ <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 2120 <br />0001 8040 <br />1467 <br />{Transfer from service label) <br />I PS Form 3811, July 2013 Domestic Return Receipt <br />Iti r` <br />Bomestic Mail Only <br />For delivery Information, <br />visit our webs[te at wwwusps.coml�. <br />rq <br />r-1 <br />OFFICIAL <br />USE <br />Q <br />Q <br />Postage <br />$ <br />co <br />43 <br />Certified Fee <br />r-9 <br />rq <br />Postmark <br />Return Receipt Fee <br />Here <br />�..�....... Q <br />Q <br />(Endorsement Required) <br />Restricted Delivery Foe <br />(Endorsement Requlrad) <br />C3 <br />ED <br />ru <br />ra <br />ru <br />q <br />Total Postage & Fees <br />�- ru <br />rU <br />Keith Zimmemaan <br />® ri <br />rI <br />Srreeis:4pi.'ko;' " <br />Vista Verde Village. LLC_ ------------- <br />---- <br />Q <br />r` <br />Q <br />r` <br />or PO Box No. <br />17448 Hwy 550 <br />......................-.. <br />City, scare, ztp+e <br />Ridgway. CO 81432 <br />