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� ! 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 /> Kim O'Connor <br /> Progressive Agricultural Management, LLC <br /> 518 Main Street <br /> PO Box 445 <br /> Wray, CO 80758 <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 per it . <br /> Artir.la Addressed to: D. Is delivery address different from item 1? ❑ Yes <br /> Kim O'Connor r delivery address below: ElNo <br /> Progressive Agricultural Management, LLC <br /> 518 Main Street <br /> PO Box 445 <br /> Wray, CO 80758 <br /> I I I I I'I �I I II I I I I I I 'III I"I ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9402 2543 6306 1179 01 ❑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 ❑Signature Confirmation- <br /> - -- Mail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 6 316 Val Mal <br /> Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal — <br /> CERTIFIED o RECEIPT <br /> -J3 -0 Domestic Mail Only <br /> ra ra <br /> For delivery information,visit our website at wwt conv. <br /> M m OFFICIAL,, > <br /> _ rij rt,t Certified Mail Fee <br /> Er $ <br /> cO cl) Extra Services&Fees(check box,add fee as appropriate) <br /> ❑Return Receipt(hardcopy) $ <br /> --ft r-q ❑Return Receipt(electronic) $ Postmark <br /> OE3 El Certified Mail Restricted Delivery $ Here <br /> O O []Adult Signature Required $ <br /> []Adult Signature Restricted Delivery$ <br /> p O Postage <br /> Q' U" $ <br /> rU rU Total Postage and Fees <br /> fU rU <br /> cO cO Sent To Kim O'Connor <br /> r-q r-q _ ............ Progressive Agricuttural Management, LLC <br /> � O Sireei_ant.No.,C`- P- <br /> 518 Main Street <br /> cify,-State;2iP+4* PO Box 445 <br /> Wray, CO 80758 <br />