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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign a re PCII <br /> ■ Print your name and address on the reverse Xr 14 __ Agentso that we can return the card to you. �—�Addressee <br /> ■ Attach this card to the back of the mailpiece, B•/��cMqT�� <br /> C. Date of Delivery <br /> or on the front if space permits. V —U 2l <br /> 1. Article Addressed to: D. Is delivery Address different from item 1? ❑Yes <br /> �u�YTj livery address below: [3 No <br /> Phillips County <br /> 221 S Interocean Ave J ISiON OF RECLAMATION <br /> Holyoke, CO 80734 MINING AND SAFETY <br /> 1111111 <br /> I I I�I IT <br /> I I 1111111111111111111111 <br /> I II II I I II "'I (I I 3. Service Type ❑Priority Mail Express <br /> ❑Adult Signature ❑Registered MaiIT^^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec <br /> ertified Mail@ Delivery <br /> 9590 9402 5506 9249 0525 99 O Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> O Collect on Delivery Restricted Delivery Signature ConfirmationTm <br /> �. n., he rr���f r frnm carvire/ahell ._ II O Signature Confirmation <br /> 7018 2290 0001 8923 2059 0 Restricted Delivery Restricted Delivery <br /> l <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />