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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> A. Signature T / r 4 . <br /> • Complete items 1,2,and 3. ' <br /> • Print your name and address on the reverse X -- <br /> so that we can return the card to you. ❑Addressee <br /> • Attach this card to the back of the mailpiece, ` eived by(Printed Name) c D to of eljvv&ry <br /> or on the front if space permits. � t1fo �e , . - 331 <br /> 1. Artirlc o�.i,ocend t,._ _ .-�.._ ! <br /> livery address below: 0 No <br /> Arthur A. Winter NOV 1 8 2019 <br /> 20110 Co Rd 75.0 <br /> Trinidad, CO 81082 DIVISION OF RECLAMATION <br /> MINING & SAFETY <br /> '! <br /> 3. Service Type 0 Priority Mail Express® <br /> III <br /> I' III II I I 11 I 111 I I 11111 ❑Adult Signature 0 Registered Mail' <br /> ❑Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> a Certified Mail® Delivery <br /> 9590 9402 3488 7275 7567 72 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation', <br /> .------'Mail El Signature Confirmation <br /> 7 018 2290 0001 8923 2783 Nail Restricted Delivery Restricted Delivery <br /> )O) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />