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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. 0 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• A' D. Is delivery address different from item 1? D Yes <br /> if YES,enter delivery address below: 0 No <br /> Rudolph Fontanari <br /> 3316E 3/4 Rd Rt 1 <br /> Clifton, CO 81520 <br /> III <br /> 11 III 1I I I) I I I I ( I 111111 3. SSignatureuce Type <br /> 0 Adult0 Priority Mall Express® <br /> ❑Registered Mar. <br /> O Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> 9590 9402 2543 6306 1178 19 o Certified Mail® Delivery Certified Mail Restricted Delivery 0 Returnm Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Artirtla Mr imher(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmationTur <br /> flail <br /> 0 Signature Confirmation <br /> 7 017 2400 009119 181 t I Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> U.S. Postal Service' <br /> CERTIFIED MAIL° RECEIPT <br /> rR r9 Domestic Mail Only <br /> 0 <br /> =w 1-8 r-9 For delivery information,visit our website at www.usps.com`-. <br /> C5 Z <br /> w o asosms - M §11,S <br /> o rr <br /> p r, Certified Mail Fee <br /> pa r_r_o rR r-4 $ <br /> Cr Cr Extra Services&Fees(check bot,add tee as appropriate) <br /> O ❑ <br /> Return Receipt Qiarci opy) S <br /> arri ® D D 0 Rates Receipt(electronic) $ Postmark <br /> a0 0 D D ❑Certified Mail Restricted Delivery $ Here <br /> a= D ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ <br /> w S. rift D Postage <br /> 6„L D D $ <br /> Total Postage and Fees <br /> ar I ® rt.! r u <br /> o <br /> N Sent To <br /> masememmnimem r-;D D <br /> StreetandApL No, Rudolph Fontanari <br /> r` r` 3316E 3/4 Rd Rt 1 <br /> City,state,ziP1-4° Clifton,CO 81520 <br /> PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instruction <br /> • <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 <br /> 341300000 <br /> Rudolph Fontanari <br /> 3316 E 3/4 Rd Rt 1 <br /> Clifton, CO 81520 <br />