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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. a Mob, <br /> 1. Article Addressed to: / D. Is delivery ❑Yes <br /> If YES,ent ry ad ress Blow: ❑No <br /> - - - - NOV 3G Lu 10 <br /> Mr. Ricky W. Mitchell <br /> P O Box 10 DIVISION OF RECLAMATION <br /> Bennett, CO 80102 MINING AND SAFETY <br /> I I Ill I'll III I II III III ll III( I III I(III 3. Service Type ❑Priority Mail ai ® <br /> ❑Adult Signature ❑Registered MailTMT"' <br /> ❑Cdult Signature Restricted Delivery ❑Registered Mad Restricted <br /> 9590 9402 3488 7275 7527 74 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery El Signature ConfirmationT" <br /> Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0 0 0 0 2 9 6 5 12 8 7 ❑loser d M I Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />