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, , � <br /> STATE OF COLORApO <br /> DNISION OF RECL,�IMATION,MINING&SAFETY <br /> Attn:Car�i//e Moj�� ` <br /> 1313 SHERMAN ST�ltEET, ROOM 215 <br /> DENVER,CO 80203u <br /> 341300000 � �� <br /> i - <br /> �. <br /> °' � 7018 229� ���1 8923 1174 <br /> , � <br /> ������,� <br /> � <br /> � AP� 0 4 2022 <br /> N OF R tY,�A11�ER�S <br /> � NIINI�G&SAFE <br /> � <br /> r <br /> � - -- — <br /> � - — <br /> ,. � __._..._._ <br /> � • • . . . . <br /> ■ Complete items 1,2,and 3. A. S�gnature <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. X ❑Addressee <br /> ■ AttaCh this card to the back of the mailpiece, B• Received by(Printed Name) C. Date of Delivery <br /> � or or�the front if space permits. <br /> 1. Articie Addre. --"— „ ,�,,�,:,.�,,. � � <br /> .,aa.,, �a;rse .,�r..,.,,�ro.,,t� f7 Yes <br /> Stef� , .. _ r�� .���� � � - . ..L. . ._: <br /> ;Y. a =e`�.��(3a <br /> CO�� ° t``=3'ir; rhi:[tv3=p.5. '�i. _4. � .. , ., ._._:dc, <br /> . .f�: _t� <br /> A '} h � z4 a Ci :e �iti:J EJ; r`' .'��..'� k's: i;•- _ _ <br /> 6`'F�` ~ . �.ri��:.r`t s'� . .. . ._ � �. ._ ' ,. . '.,� i � .z.r:x� <br /> `3� a r.:i.:� ii ir�'' ?''r�e; <br /> � Cent - - _ ._ . _� � �. <br /> III'IIIIII'II ��!i?:!t2:i,�,�jl�?l-;;�:s!�,: :.;��ii��f'�'i;; . ���;,i:a - <br /> : i :�•,�, ;�.;'�f�� ss� <br /> ����������I���������������������� ' ❑Adult Signature Restricted Delivery ❑Registeretl Mail Festricted <br /> 9590 9402 4407 8248 9012 41 ❑Certified Mail Restricted Delivery ❑��r Receiptfor <br /> Q Coilect on Delivery Merchandise <br /> 2. Article Number(fransfer from service labe0 ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> ;ured Mail ❑Signature Confirmation <br /> 7 01i 8 2 2 9 0 ���1� 8 9 2 3 1�4 5 �ed Mad Restricted Delivery Restricted Delivery <br /> ' ...:$500 <br /> < < PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt � <br /> r • <br />