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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 17 and 3.;i t� It) 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 /> Rod Clayton <br /> P.O. Box 2 <br /> Hooper, CO 81136 <br /> 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑R istered Mail Restricted <br /> El Certified Mail® De ivery <br /> 9590 9402 2543 6306 1176 73 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from Service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationT" <br /> — - ❑Signature Confirmation <br /> 7 018 2290 0001 8923 6453 Zestricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 �+ V 1Q/r�d Domestic Return Receipt <br /> Postal <br /> CERTIFIED o RECEIPT <br /> m m Domestic <br /> Lr) U") <br /> For delivery information,visit our website at WWW.USpS.CoM'L'. <br /> �- <br /> m m � ". � <br /> _ ru ru Certified Mail Fee <br /> Er $ <br /> EO c:D Extra Services&Fees(check box,add fee as appropnate) <br /> - ❑Return Receipt(hardcopy) $ <br /> r-9 r-1 ❑Return Receipt(electronic) S Postmark <br /> � O ❑Certified Mail Restricted Delivery $ Here <br /> � O ❑Adult Signature Required $ <br /> []Adult Signature Restricted Delivery$ <br /> p M Postage <br /> RJ f1J Total Postage and Fees <br /> ru ru <br /> $ <br /> cp ca Sent To +1A1 � <br /> I3 o Street and ApE No.,or Pb$oz h Rod Clayton <br /> Iti C� PO. Box 2 *92Q1-WI <br /> City,State,ztP+411-------------- Hooper, CO 81136 <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203-2243 <br /> 341300000 <br /> Rod Clayton <br /> P.O. Box 2 <br /> Hooper, CO 81136 <br />