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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Signature <br /> • Print your name and address on the reverse X / 0 Agent <br /> so that we can return the card to you. 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, BB Receive. •y(Pitted Name) C. Date of Delivers, <br /> or on the front if space permits. Z-q n I <br /> 1. it.,-.;,A.Aririracspd to: D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter deliveryaddress below: ❑No <br /> Frank Leone Jr. NOV 21 20?4 <br /> Leone Sand & Gravel LLC <br /> Colorado Division of Reclamation, <br /> 2400 E Main Street Mining and Sait.;y <br /> Trinidad, CO 81082 <br /> 3. Service Type 0 Priority Mail Express® <br /> 111111111111111111111111111111111 II II I III El Adult Signature 0 Registered MailTm <br /> 0 Adult Signature <br /> Male De <br /> Restricted Delivery ❑Registeredery Mail Restricted <br /> ❑Certified <br /> 9590 9402 8426 3156 9759 61 ❑Certified Mail Restricted Delivery 0 Signature Confirmation"" <br /> 0 Collect on Delivery 0 Signature Confirmation <br /> 2. etie,.ia nil irnhar rrransfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery <br /> Insured Mail <br /> 7019 2280 0001 8254 9842 f Insured Mail Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />