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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. S' frature <br /> • Print your name and address on the reverse %f 4kAgent <br /> so that we can return the card to you. X I"t i(k. Addressee <br /> • Attach this card to the back of the mailpiece, B. ceived by n ed Name) C. ate f Delivery <br /> p �r g� q <br /> or on the front if space permits. � ti✓� l(R`�V'C'1`1r 11 �" <br /> --�'�" 'dress different from item 1IIIYes <br /> —__ _ delivery address below: No <br /> Da Richardson <br /> JAN 0 ?Oa <br /> Richardson Construction and Kemple Excavation Joint Venture giZdd0 <br /> 3940 County Road 119 DIVISION OF RECLAMATION <br /> Hesperus,CO 81329 MINING&SAFETY <br /> 3. Service Type ❑Priority Mail Express® <br /> 11111 I'I1111 <br /> III (I I 111 I 11111111O Adult Signature 0 Registered Mai <br /> O Adult Signature Restricted Delivery 0 Registered Maill Restricted <br /> Certified Mail® Delivery <br /> ❑ <br /> 9590 9402 3488 7275 7570 90 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 ConfirmationT" <br /> Mail 0 Signature Confirmation <br /> 7 018 2 2 9 0 0 0 01 8 9 2 3 2 5 8 5 Mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />