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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signat <br /> ■ Print your name and address on the reverse X <br /> ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received b Tinted ame) C. Date of Delivery <br /> or on the front if space perits. <br /> 1. Article Addressed to: D. Is delivery address dfffirehfrom item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> '--Mr. Jay Baker - - - FEB 2 8 2010 <br /> =Mule Creek Gravel, LLC <br /> 1000 South West Street DIVISION OF RECLAMATION <br /> Woodland Park, CO 80863 1 <br /> MINING AND SAFETY <br /> I I III'I IIII III I I II I II I I I I II I IIII III 3. Service❑Adulte Signature ❑Registered ss® <br /> egistered Mal— <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3488 7275 7534 74 0 Certified 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 ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 1034 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />