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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X rent <br /> so that we can return the card to you. -�` � ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, R � tvCeceived by(Printed Name) C. Date of Delivery <br /> ✓ <br /> or on the front if space permits. . I/ i r —Z ZO21 <br /> �. Is delivery addrelhQ ❑Yes <br /> Fred Lundy If YES,enter delivery address bel . W-Lia <br /> Lincoln County SEP 0 8 mi <br /> P.O. Box 39 <br /> Hugo, CO 80821 DMSION OF RECLAMATION <br /> M-1977-163-SG D. Cunningham MININn <br /> I I I I I I III I III <br /> III <br /> 3. Service Type ❑Priority Mail Express® <br /> ❑❑Adult Signature Registered MaiIT"^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1133 30 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery O Signature ConfirmationTM <br /> Insured Mail 0 Signature Confirmation <br /> 7 017 2400 0000 9119 3079 Insured Mail Restricted Delivery Restricted Delivery <br /> _ (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />