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lWG# <br />First -Class, Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2053 6132 7865 33 <br />United States 16 <br />Sender: Please print your name, address, and ZIP+4® in this box• <br />Postal Service <br />State of Colorado <br />Department of Natural Resources <br />sion of Reclamation, Mining & Safety <br />IECON1 313 Sherman Street, Suite 215 -- <br />enver, CO 80203 <br />MpR 20 2�� C-1981-44 <br />p,�S10NG�0 1���.:� batt =r tt:=='1ftf�i�jititi;�;Itbi=�: afteY LeW-r— <br />RA <br />■ Complete i rn n fr� <br />■ Print aur <br />w• tlel,06k <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: _ <br />Erin Scott <br />Colorado Department of Public Health <br />and Environment <br />4300 Cherry',Creek South Drive <br />Denver, Colorado 80246 <br />9590 9402 2053 6132 7865 33 <br />7014 0150 0000 9138 6126 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />�A 19VeD4tAM <br />,❑ Agent <br />;' ❑ Addressee <br />B. Received by (Printed flame) tO. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES. enter delivery address below: ❑ No <br />3, Service Type <br />C Priority Mad Express(D <br />❑ Adult Signature <br />❑ Registered Mad TM <br />❑ Adult Signature Restricted Delivery <br />❑ Registered Mail Restricted <br />❑ Cerhfied Mad® <br />Delivery <br />❑ Certified Mail Restricted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect on Delivery Restricted Delivery <br />El Signature ConfirmationTM <br />❑ Insured Mail <br />13 Signature Confirmation <br />❑ Insured Mail Restricted Delivery <br />Restricted Delivery <br />ver $500) <br />Domestic Return Receipt <br />