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U.S. Postal Service' <br /> CERTIFIED MAIL® RECEIPT <br /> o Domestic Mail Only <br /> rn <br /> For delivery information,visit our website at www.usps.com®. <br /> I <br /> rn • <br /> flJ Certified Mail Fee <br /> Cr <br /> Extra Services&Fees(check box,add fee as appropnate) <br /> ❑Return Receipt(hardcopy) $ <br /> ❑Return Receipt(electronic) Postmark <br /> ❑Certified Mail Restricted Delivery _ fi r. 7:< ere <br /> O Adult Signature Required � Cts <br /> ❑ -'�-�� <br /> ElAdult Signature Restricted Delivery$ main .CI <br /> cm Postage ► W <br /> IT' i rtpr <br /> ru $ <br /> nj Total Postage and Fees <br /> co Sent To Colorado Division r 4amation, <br /> ci Street and Apt.No.,or PO Box No. <br /> Mlrl1 ��na c'ialety= <br /> r- <br /> Ciry,State,ZIP+44 <br /> PS Form 3800 A.ril 2015 PSN 7530-02-000-9047 See Reverse for Instructions <br />