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II■11 1111111113uuo��u�u� <br /> STATE OF COLORADO <br /> DIVISION OF R CLAM_, <br /> Attn:Camille Al ojar <br /> 1313SHERMA 4 STRE <br /> DENVER,CO 80203 <br /> 341300000 7017 2400 0000 9119 3598 <br /> RECEIVED <br /> 5EP 16 20 _ <br /> aid SOMY <br /> r t•I r 003-2 <br /> l ;y ��4" tyc�it !t 111� `11I1t <br /> 1 1ER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3. 1 A. Signature <br /> ■ Print your name and address on the reverse X ElAgent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 0 Yes <br /> Pat Farr If YES,enter delivery address below: ElNo <br /> K &B Mining, LLC <br /> 2601 Willow Park <br /> Richland Hills, TX 76118 <br /> II I IIIIII I'll l�l ll lil lI I�III�III II I I ll III III Service Type ❑Priority Mail Express® <br /> 11 <br /> ❑Adult Signature ❑Registered MaiIT- <br /> ❑Adult Signature Restricted Delivery p Registered Mail Restricted <br /> 9590 9402 4401 8248 9119 29 El Certified mail estricted Delivery El Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> n r-a t on Delivery Restricted Delivery ❑Signature Confirmation,- <br /> 7 017 2400 0000 9119 3598 d Mail ❑Signature Confirmation <br /> ___ d Mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />