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COMPLETE •N COMPLETE THIS SECTIONON <br /> t Complete items 1,2,and 3.Also complete A.6i ature <br /> item 4 if Restricted Delivery is desired. �- j/1/� J 'Ri>Agent <br /> ■ Print your name and address on the reverse b// '' �i �j Address <br /> so that we can return the card to you. B Rec i by(Pr' ed Name) C. Vate OeliVE <br /> ■ Attach this card to the back of the mailpiece, I <br /> or on the front if space permits. ` ''� <br /> D. Is elivery address different from Item 1? ❑ es <br /> 1. Article Addressed to: \ If YES,enter delivery address below: ❑No <br /> '1� 3. Service Type <br /> l i r 3ertified Mahe ❑Priority Mail Express- <br /> ) \"'V�j;�Gj L CJ l' i O 12 Registered ❑Return Receipt for Merchandi <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7869 6608 <br /> (transfer from service labeq <br /> Ps Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver,CO 80203 Spec PA� <br /> File <br />