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SENDER: COMPLETE THIS SECT1ON COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. Xent <br /> ■ Print your name and address on the reverse /)4� ❑Addressee <br /> so that we can return the card to you. B. Rec ved Iv -ate of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address diffe nt -�d3a1? ❑Yes <br /> 1. Article Addressed to: If YES,enter de a r s ❑ No <br /> ' <br /> — <br /> DMSION OF RECLAMATION <br /> RUDOLPH FONTANARI AND MINING AND SAFETY <br /> CAROL ETHEL FONTANARI <br /> REVOCABLE LIVING TRUST 3. Service Type <br /> 3316 E 3/4 ROAD ❑Certified Mailm ❑Priority Mail Express" <br /> CLIFTON, CO 81520 ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Articleur <br /> (Transfer fi 7014 2120 0001 7869 8220 <br /> ( <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />