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TELLURIDE <br /> RAVEL ` USPOS7AGE <br /> G 7 9 r <br /> _ _ <br /> A CRH COMPANY ACRH COMPANY �; — �II st-cta S5 <br /> Mailed From 81505 <br /> 2273 River Road 032A 0061807744 _ __ <br /> :grand Junction, CO 81505 <br /> Union Pacific Railroad Company RECEIVE® <br /> 1400 Douglas St., Stop 1690 <br /> Omaha, NE 68179 FEB 0 8 2019 <br /> DIVISION OF RECLAMAT'IoN <br /> MINING AND SAFELY <br /> -- I <br /> SECTIONCOMPLETE THIS <br /> DELIVERY <br /> SENDER: COMPLETE THIS SECTION <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 /> i Attach this card to the back of the mailpiece, B. Received by(P»nted Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from Rem 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Union Pacific Railroad Company <br /> 1400 Douglas St.,Stop 1690 <br /> Omaha, NE 68179 <br /> II I�III�I III II�I II I I�III II�I I I I�III I I �II 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature I]Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> JWC9590 9402 41 56 8092 0560 39ivery <br /> Certified Mail® ,petu. <br /> ❑Certified Mail Restricted Delivery $[lRNetum Receipt for <br /> ❑Collect on Delivery erchandise <br /> ransfer from service labe ❑Collect on Delivery Restricted Delivery [I Signature ConfirmationTm <br /> 2. Article Number q ❑Insured Mail ❑Signature Confirmation <br /> 7 017 2620 0000 7180 90611 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over s5oo) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> r <br /> C3 i C3C3 C3 <br /> fix. <br /> .� o co ,—-- o•.�� co I rrt,fl,.i Ihall f <br /> ExtraSerncek n„ aJ�ia� ,., <br /> -t C3 <br /> C3C3 <br /> C3 p <br /> �® n born ire tr•� ,u,,,,, ? <br /> 0 O <br /> ru �Tota'Postage and F'ee <br /> C3 C3 United Companies tt!! �� fit, �r,iii °DD '� <br /> 2273 River Road �J <br /> Grand Junction,CO 81505 <br /> `Fi "'_ 1 'W1_Yj3 t�1P7 <br />