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SENDER' COf PLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete item 1,2,and 3. A. Si!nature <br /> • Print yofir-nanikind address on the reverse XAgent <br /> so that we can return the card to you. r.R►.L 1 ❑Addressee <br /> • Attach this card to the back of the mailpiece, B. Received by "nfed Name) C. Date of Delivery <br /> or on the•front if space permits. <br /> 1. Article Addressed to: — �nlb�■* i 1? ❑❑YesNoF� <br /> Montrege County CommiTsioners <br /> 1140 ( rand Ave, Ste 250 JUN 2 8 20"(-. <br /> Montrv�e, CO 81401 Colorado Division of Reclamation, <br /> Mining and Safety <br /> 3. Service Type <br /> liii <br /> I'I 'I I I II'II I 'IIIIIII I I III O0 Adult Signature 0 Priority Mail Express® <br /> Adult SignatureMRestricted Delivery 0 Register Mall Restrictec <br /> 9590 9402 4401 8248 9098 10 O Certified Mali Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. ArtirIa Ni Imhpr(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation^" <br /> nsured Mall 0 Signature Confirmation <br /> 7019 2280 0001 8254 7992 nsured Mall Restricted Delivery Restricted Delivery <br /> over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />