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1 <br /> 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 ❑Agent <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) 16. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. I-delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Coio,ado Division of Reclamation, Mining &Safety <br /> ATTN: Rob Zubler <br /> 1313 Sherman St, Room 215 <br /> Denver, CO 80203 <br /> III II I I'I I(I III I I III I II I I I I I I I I I I 3. uNICe Type ❑priority Mail Express® <br /> El Adult Signature ❑Registered MaiIT'^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> A(Certified Mail® Delivery <br /> 9590 9402 5828 0034 0102 12 O Certified Mall Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> O Insured Mail ❑Signature Confirmation <br /> 7 015 1730 0000 7203 1980 F1 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />