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A 50021 7020 129E 000E 8170 2863 °""° °` Illllllflllllllllll AUG 05 21 <br /> /pile=T["v"E• I AI G 04 <br /> 1004 80203 $ 16.55 <br /> A2303S102701-80 <br /> �I <br /> 1 <br /> Division of Reclamation, Mining, & Safety <br /> Dept. of Natural Resources <br /> 1313 Sherman St., Room 215 <br /> Denver, CO 80203 /�/% f0�0r <br /> COMPLETEF qr/0, <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. E3 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 /> I. Article Addresses)to- <br /> fju� r n D. Is delive address different from item 1? ❑-Yes <br /> i YC j,;v✓) eA ;,ec l ol*' ,"Y�cv'�l V"1•N A) If YES,enter delivery address below: ❑No <br /> rs <br /> ireN7ve r CC > L7✓�j <br /> II�'I�II i'�I I�IIII II�IIII II II�IIII I�I�'II I �� 3. Service Type❑Adult Signature ❑Priority Mail Expresso <br /> 0 Registered MaJlTM <br /> ❑Adult Signature Restricted Delivery 0 Re Istered Mail Restricted <br /> 959E 9402 6825 1074 8772 23 o certified <br /> Restricted Delivery CI Signature DeliveConftrmationT^+ <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> 702E 129E 000E 8170 2863 ;uredMail <br /> cured Mail Restricted Delivery <br /> er$500) <br /> _T Form 3811,July 202E PSN 7530-02-000-9053 <br /> Domestic Return Receiot . <br />