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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sig ture <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 n(am Cy Date of Deliy&ry <br /> or on the front if space permits. <br /> 1. Article Addressed to:��J�'/} x D. Is delive item 1? ❑Yes <br /> `//' V` U If YES,a lid ry address below: ❑ No <br /> Gail Zimmerman JAN 15 2019 <br /> 19002 County Road CC.5 <br /> Rocky Ford,CO 81067 DMSION OF RECLAMATION <br /> I MINING AND SAFEM <br /> I IIIIII I I II III I II II I I I II III I II I II II IIII III 3. Service Type ❑Priority Mail Express@ <br /> ElAdult Signature ❑Registered MailailT"Tm <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3488 7275 7582 19 ACerti ied Mail® Delivery <br /> ❑Certified 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 Confirrnationrm <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 017 2400 0000 9205 5 5 6 7 'Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 M I q4_]V 11 Domestic Return Receipt <br />