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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203-2243 <br /> 341300000 <br /> Ms. Mindy Miller <br /> Titan Au, Inc. <br /> 1935 65th Avenue, Suite A <br /> Greeley, CO 80634 <br /> SECTIr 7Received <br /> b£909 OO'fialao�0 p+diz'9JWS�p• y a31nS'anuany tpgg g£6 t •o xo _j _j <br /> N a od�°plete items 1,2,and 3.Also complete oul nb ue 1 _oN-jdV--- -leans o 0 <br /> -------------------/--�---- <br /> 4 if Restricted Delivery is desired. v`� �all!W�PuIW sy� ' �'your name and address on the reverse °U wes iat we can return the card to you. $ fu fu <br />;h this card to the back of the mailpiece, seed g a6e�sod lelol L-� <br /> ru ru ru <br /> t the front if space permits. o C3 <br /> D. Is delivery addrt (pa1lnbea 3el3t opu3) <br /> e Addressed to: If YES,enter de ead tieylaO PetoWsey O C3 <br /> OJOH (pennbed luewesiopu3) t7 O <br /> „mwlsod <br /> ead jd*oad wnyey p Q <br /> Mindy Miller $ e61lsod o C3 <br />:an Au, Inc. � <br /> 3. Service Type , C3 C3 <br /> i35 65th Avenue, Suite A ❑Certified Mt R. n <br /> i o i <br /> Liu <br />-eeley, CO 80634 <br /> ❑Insured Ma Aluo liekV 0flsQLu0G <br /> © 4. Restricted Del Ldl333H o <br />-le Number 7 014 2120 0001 8 0 4 • • <br /> isfer from service Jabeq <br />-m 3811,July 2013 Domestic Return Receipt <br /> COLORADO EAST BANK&TRUST 097 <br /> LASALLE,CO 80845 <br /> MILLER FAMILY INVESTMENTS 331P82-157/1021 <br /> 428 N 2ND ST. <br /> ;!. �, ' LA SALLE,CO 80645 �I <br /> PH.970-284 2074 �Msg� 10/3/2018 <br /> PAY TO THE DRMS <br /> ORDER OF **2,692.00 <br /> Two Thousand Six Hundred Ninety-Two and 00/100********************************************************************* <br /> DOLLARS <br /> DRMS <br /> MEMO <br /> Titan Au <br /> IZ SIGNATURE <br />