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RECEIVED <br /> JUN 02 2014 =1 G�j/rehAO <br /> Division of Reclamation, <br /> Mining&Safety <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS i <br /> SECTION . <br /> I <br /> I <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> I item 4 If Restricted Delivery is desired. , ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Receiv' y'(Pd�' Wame) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, S C <br /> or on the front If space permits. <br /> D. Is Mlvery address different from item 1? ❑Yes <br /> I 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> I <br /> i Douglas Tucker <br /> 2584 State HWY 120 <br /> Florence, CO 81226 tnme 3. Service Type <br /> ❑Certified Mail ❑ Express Mail ° <br /> ❑Registered ❑Return Receipt for Merchandise <br /> I ❑Insured Mail [7 C.O.D. <br /> I <br /> 4. Restricted Delivery?(E)&ra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service labeq <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> q <br /> I <br /> C C>L <br />