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" First-Class Mail <br /> Postage`&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7871 58 <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 /> Division of Reclamation,Mining& Safety <br /> 01313 Sherman Street, Suite 215 <br /> o Denver,CO 80203 C''- <br /> 10N, <br /> COMPLETE <br /> ■ Complete items 1,2,Lind 3. A. Signature �� <br /> ■ Print your name and address on the reverse 19 Agent <br /> so that 1ni can return`the card to you. X 0 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. `, .M� CSC C o'y / c - 3- <br /> 1 Article Addressed to: _ D. Is delivery address different from item 1? 0 Yes <br /> If YES;enter delivery address below: �No <br /> Sage Creek Holdings, LLC <br /> 29515 Routt County Road 27 <br /> Oak Creek, CO 80467 <br /> II I'III'I ILII I'I I II I VIII I it III II I II I I II III III 3. Service Type 0 Regi Priority Mad ailTM ss@ <br /> ❑Adult Signature ❑Registered MaiIT'" <br /> 0 Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> 0 Certified Mail® Delivery <br /> 9590 9402 2053 6132 7871 41 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 2. 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation- <br /> 7016 2140 0000 2345 7325 <br /> 0 Insured Mail 0 Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />