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i s , <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 0 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 /> Rhett Bennett s delivery address different from item 1? ❑Yes <br /> f YES,enter delivery address below: ❑No <br /> Black Mountain Sand Weld LLC O <br /> 500 Main St. <br /> Su;:a 1200 <br /> Fort Worth, TX 76102 <br /> 3.II I IIIIII IIII III I I I II II III II I IIIIII I II I I (III ❑AduIlSignature Signature <br /> e Restricted D El elivery ❑Regisice Type 0 tered Mail Restricted Mail <br /> 9590 9402 4898 9032 9070 52 0 Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Artirlp Ni imhpr(hransfer from service label) ❑Collect on Delivery Restricted Delivery O Signature Confirmation— <br /> ?018 2290 0001 8923 6224 Aail Restricted Delivery Signature Restricted eliv DeliConverryation <br /> JO) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt i <br /> CERTIFIED MAIL <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,co80203 2243 ?018 2290 0001 8923 6224 <br /> 341300000 ?018 2290 0001 8923 6224 <br /> N <br /> n n <br /> 0 <br /> y <br /> m a <br /> f0 rL o N n 9 2 3 <br /> _N' ai m m m _ m y T ■ <br /> RhettBe . �' N $ mTD � <br /> C m 2 m 3 <br /> Black M - T to I m m a-or <br /> a • <br /> 500Mai <br /> O NIB? K <br /> c�-ite 12 - SOLI,_ <br /> Fort Wo x _ a <br /> N C1 <br /> m <br /> a <br /> n <br /> =N <br /> m 3 <br /> m m <br /> x <br />