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i SENDER:COMPLETE THIS SECTION COMPLETE T141S SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si at r <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressi <br /> so that we can return the card to you. Receiv b (Print d Name) C. D to of elive <br /> ■ Attach this card to the back of the mailpiece, ; / / <br /> or on the front if space permits. hh "� <br /> D. Is delivery address di r t from item 1 0 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Don Marr <br /> Yuma County <br /> 1310 S. Blake St 3. Service Type <br /> Wray, CO 80758 M Certified Mail® ❑Priority Mail Express— <br /> y ❑Registered ❑Return Receipt for Merchandi: <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (transfer from service laheq 7 014 2120 0001 7869 6486 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES�GL NICE 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 �� <br /> File m dW911q <br /> „03 224"iE:S <br />