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6 � If 11 I - <br /> a <br /> Er tit <br /> a <br /> bLA <br /> r <br /> � s <br /> �a ega 0. <br /> COLORADO Z I n gS <br /> Division of Reclamation, <br /> Mining and Safety an a <br /> Department of Natural Resources <br /> ur <br /> 1313 Sherman Street,Room 215 m q <br /> Denver,CO 80203-2243 <br /> 341300000 <br /> Robert Congdon <br /> Avalanche Creek Marble <br /> and Alabaster, LLC <br /> PO Box 932 <br /> Carbondale, CO 81623 <br /> ® Complete Items 1,2,and 3. A. Signature <br /> 13 print your name and address on the reverse X 17 Agent <br /> so that we can return the card to you. 13 AddrOnea~ <br /> 7 Attach this card to the back of the mailplece, S. Received by(Printed Name) C.Date of Delivery <br /> or on the front if space permits, <br /> 1. n.6.4..AM.. 4dA t^- w D.Is delivery address different from item 1? E3 Yes Robert Congdon _— <br /> It Ya,enter delivery address below. p No <br /> Avalanche Creek Marble <br /> and Alabaster, LLC <br /> PO Box 932 <br /> Carbondale, CO 81623 <br /> IIIIIIIIIillllllilllllll�llllllll�lll�llll�l �^ <br /> Cl fd <br /> o Adult SWahn Re.ticled Ddmy pile taodtAeHFlestricted <br /> 9590 9402 3770 8032 0589 84 0 c D*my o motor <br /> o can.�t on D.¢ray <br /> 2 Article Number Mmsfar from service kW O Coeect � 13 - <br /> 7018 2290 0001 8923 6132 w ao RestrictedDdvery <br /> - <br /> PS Form 3811,July 2015 PSN 7630-02-000-91M Domestic Retum Receipt ; <br />