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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign"e <br /> ■ Print your name and address on the reverse /� __ Agent <br /> so that we can return the card to you. ❑ ddressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Panted Name) C Da <br /> . I De)(very <br /> or on the front if space permits. tl Ni /APAM ra r < U <br /> 1. Article Addressed to: D. Is delivery address different from item 1 Els <br /> ATTN:Scottie Tate If YES,enter delivery address below: o <br /> j <br /> Civisier, of Rec,amation, Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> II I IIII' III I'I'(I IIII I I III I I IIII I III 3. Service Type ❑Priority Mail Eigpress@ <br /> ❑Adult Signature ❑Registered MSijTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec <br /> 9590 9402 4741 8344 2968 57 Certified Mails Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery O Signature Confirmation— <br /> 1 El Signature Confirmation <br />_ 7 016 0750 0000 2279 1816 ail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Returrq Receipt <br />