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COMPLETE •N 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. B-Ac ressee <br /> ■ Attach this card to the back of the mailpiece, B. Regeived-by(Print Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: delivery a 1? Yes <br /> If YES,e r elivery address below: ❑No ' <br /> Joseph E. &Janice C. Stock, Living Trust JAN 2 3 2019 <br /> 1608 Reservoir Rd <br /> Canon City, Co 81212 DIVISION OF RECLAMATION <br /> MiNiNn AND SAFETY <br /> (I IIIII I III III I II I I I I II I II III I I I I I III 3. Service Type ❑Priority Mail express® <br /> ❑Adult Signature El Registered MaiIT^' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 3488 7275 7575 64 ❑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 0 Signature ConfirmationTm <br /> ❑Insured Mail 0 Signature Confirmation <br /> 7 018 2290 0001 8923 5 7 0 8 1 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />