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� i I <br /> SECTIONSENDER: COMPLETE THIS SECTION i COMPLETE THIS 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. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1_ Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> Colorado Division of Reclamation, If YES,enter delivery address below: ❑No <br /> Mining and Safety <br /> Attn:Amy Yeldell <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> 3. Service Type ❑Priority Mail Express® <br /> 1 1 1 1 1 ❑Adult Signature ❑Registered MeiITM <br /> ❑Adult Signature Restricted Delivery ❑Rep!stared Mail Restricted <br /> 9590 9402 4403 8248 40$0 90 AC <br /> El certified Mail® telivery <br /> Certified Mail Restricted Delivery XRetum Receipt for <br /> DeliveryMerchandise <br /> 2. Article Number(Transfer from service label) ❑Co Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 018 0680 0002 0087 761.5 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> t <br /> (over$5D0 <br /> I PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 9 <br />