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uwi rr°s a,E, IIIIIIIIIIIIIIIIIII AUG 05 21 <br /> A 50021 7020 1290 0000 8170 2863 °°=<<,�R�,�E• AMOUNt <br /> 1004 <br /> fj0203 R230y S106o1-80 <br /> 55 <br /> 1 <br /> Division of Reclamation, Mining, & Safety <br /> Natural Resources <br /> Dept. of Na / <br /> 1313 Sherman St., Room 215 <br /> Denver, CO 80203 D�� �0 � <br /> — MNN®RFC <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS 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 mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed'to- n D. Is delivery address different from Rem 1? ❑Yes <br /> N 4-) If YES,enter delivery address below: p No <br /> i��� Shy, y✓�,;,t�1 ���� � �1��15r <br /> I'Cv7vf'r� Cf� �L�v� <br /> II I'lll�l I'I�I'I I II I II II III I I'II I I III�'ll I I� 3. Service Type ❑Registered <br /> Priority Mal Expresso <br /> ❑Adult Signature ❑ Mell*M <br /> ❑Adult Signature Restricted Delivery ❑Reglstered Mail Restricted <br /> llo❑Certified Ma Delivery <br /> 9590 9402 6825 1074 8772 23 ❑Certified Mail Restricted Delivery ❑Signature Confirmation*M <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> >ured Mail <br /> 7 0 2 0 1290 0000 8170 28 6 3 :ured Mail Restricted Delivery <br /> er$500) <br /> - S Form 11,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />