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SECTIONSENDER: COMPLETE THIS .MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X Covta S `� ,9�.A <br /> so that we can return the card to you. ❑Addredressee <br /> ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. Is delivery ad r Yes <br /> If YES,enter e every a dress b o ❑ No <br /> Ron Simon FEB 23 2021 <br /> Simon Holding, LLC <br /> U75 Golf View Way DIVISION OF RECLAMATION <br /> 9teamboat Springs, CO 80487 MININGAND SAFM <br /> �illl'I III 'I(I� II I I 'II II I I"I I (I II I I d. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered WIT'ElAdult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9402 5506 99,19 0 4$ 38 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 0 Collect on Delivery Restricted Delivery 13 Signature ConfirmationTM^ <br /> fail ❑Signature Confirmation <br /> 7 017 2400 0000 9119 0955 mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Retum Receipt <br />