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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: n Is delivery d ❑Yes <br /> "'�,��,/�,/w <br /> „1 I , OO f YES,enter delivery address below: ❑No <br /> Mr. Thomas J Murray OCT 3 0 2018 <br /> The Lakewood Brick and Tile Company <br /> 1325 Jay Street I DIVISION OF RECLAMATION <br /> Lakewood, CO 80214 MINING AND SAFETY <br /> III'II'I I'll 'I I I �' II I II III II I II II I 'I' 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Ma1lTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3488 7275 7526 13 0Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"' <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7016 2 710 0000 2904 61 fi r ' ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />