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-- <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION 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 /> If YES,enter delivery address below: ❑ No <br /> Mr.Timothy Cazier, P.E. <br /> Environmental Protection Specialist <br /> Division of Mining, Reclamation and Safety <br /> 1313 Sherman Street, Room 215 <br /> Denver,Colorado 80203 <br /> I I I I III II I II I ' III I III III 3. Service Type ❑Priority Mail Express <br /> I ❑Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified MZ8 Delivery <br /> 9590 9402 4088 8092 5762 16 El Certified Mail Restricted Delivery ❑Return Receipt for <br /> I ❑Collect on Delivery Merchandise <br /> If 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation— <br /> fired Mail ❑Signature Confirmation <br /> k 7 018 0360 0 0 01 19 5 7 5 3 3 5 fired Mail Restricted Delivery Restricted Delivery <br /> w$500) <br />` PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt �. <br /> t <br /> i <br /> i <br />