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U I.AMATION,MINING&SAFETY �•4 .j; .� <br /> qMojar � <br /> C4NN CTREET, ROOM 215 02 IVY <br /> NA <br /> 7018 2290 n 8923 1298 P-44, ^ 0001366873 OCT 28 2020 <br /> till <br /> ro <br /> ��,t;, S s <br /> Ca' DIVISION OF <br /> ION <br /> MINING AND SAFETY <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 ❑Agent <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailplece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Rudolph Fontanari <br /> J 3316 E 3/4 Road, Rt. 1 <br /> t Clifton, CO 81520 <br /> I I I II� III II I I III II IIIIIIII I I� III 3. Service Type ❑Priority Mail Express© <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 4401 8248 9106 94 ❑Certified Mail RestrictedDelivery 0 Retiu n Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ^ .._•_,_— _..r_----------___.•__,_ _„ nr 11—tonDeliveryRestrictdDelivery ❑Signature ConfirmatlonT <br /> Mail El Signature Confirmation <br /> 7018 2290 0001 8923 1298 Mail Restricted Delivery Restricted Delivery <br /> I (overa000) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />