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� IR ill/d/g/ll'!/:II <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 7 018 2290 0001 8923 6088 <br /> 341300000 7018 2290 0001 8923 6088 <br /> _ CM CO c� o m� n, <br /> ❑❑❑❑❑» z <br /> D D 0 31 71 W - <br /> m a m <br /> C ¢ '' > > m 6 <br /> m n� sl m D m n m �'t • • <br /> Nj a I m d m. o m y <br /> A. 0; 9 9 tmn m T m <br /> T <br /> of Fn <br /> M - <br /> M m <br /> m <br /> < m <br /> R : <br /> n o nn a • <br /> O a <br /> 00 m r:: <br /> w `D <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> v <br /> x <br /> m 3 <br /> m m <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 /> Ms. M.J.Cadgene <br /> MJ Cadgene <br /> PO Box 10 <br /> Redval e, CO 81431 3. Service Type ❑Priority Mail Express® <br /> I IIII'II�III'II�IIII' I 'II'IIIII'tllill "II ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3770 8032 0589 91 ❑Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Artirlp Ni imhp ?ran.efpr frnm cprvicp Inhpll ❑Collect on Delivery Restricted Delivery El Signature ConfirmationTM <br /> ❑Signature Confirmation <br /> 7 018 2290 0001 8923 6088 sstricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />