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STATE OF COLORADO <br /> ';IlI('I I)l��l7i►��i�ll�[I!!(�l!l�tl�}Il�ifft►'��ftl!'!i� <br /> DIVISION OF RECLAMA <br /> 131 Camille Mojar II I I I II II I'lll I I II II'lllll I I <br /> O80203REET,Suite 215 <br /> DENVER, III <br /> 341300000 7018 2290 0001 8923 3667 =. <br /> 171014 <br /> ,AN <br /> <s. t: ca'd°i, g arrd BAY <br /> =T- SENDER: SECTIONCOMPLETE THIS SECTION ON DELIVERY <br /> + .. <br /> A. Signature <br /> ■ Complete items 1,2,and 3. <br /> _, ■ Print your name and address on the reverse X ❑Agent <br /> fir:; Yr, v so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mail piece, B. Received by(Printed Name) C. Date of Delivery <br /> E,= P' <br /> or on the front if space permits. <br /> w�* D. Is delivery ery address different from item 11 ❑ 'es <br /> Jim Harrington If YES,ent r delivery ❑a delive address below: No <br /> Colorado <br /> 333 Legacy Land, LL <br /> W Hampton <br /> Englewood Ave., Suite 935 <br /> , CO 80110 <br /> j. Service Type Priority Mail Express® <br /> ,x .« % (I I IIIjI)III III I(I III lI l 'IIII'I I I'I I I I I�I) ® <br /> Deliv <br /> ❑Adult Signature ❑Registered MaiITM❑ <br /> ❑Adult Signature Restricted Delivery R istered Mail Restricted <br /> Certified Mail <br /> ' '' °`W ' `•' 9590 9402 4401 8248 9008 86 ❑Certified Mai Restricted Delivery ❑Return Receip t for <br /> �_ <br /> '4;� <br /> xt. `a Artiria Ni imhar(Transfer fmm service/abell ❑Collect on DelivDeliverSignatureMerchandise Restricted Delivery 0 ConfirrnationTM <br /> 7 018 2290 0001 8923 3667 <br /> d Mail Restricted Delivery d Mail ❑ gnature RiestrictedC�fi�lion <br /> .Y a 500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 _ <br /> Domestic Return Receipt <br /> #'* <br /> „!T'.i T= t'' _+w <br /> fA <br /> €3Eiifll ELE T S ADDRESSEE) <br /> ORWARD s <br /> G to 4?s: .. L r'} �C k7... �:?14 is 1. :i Y7 s:L -0 <br />