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COMPLETE THIS SECTION • • oN 6ELiVERY <br /> # Complete items 1,2,and 3.Also complete A. Sig re v <br /> item 4 if Restricted Delivery is desired. I ;gent <br /> ■ Print your name and address on the reverse X ❑AddressE <br /> so that we can return the card to you. „Received by rinte ame) C D e of De vei <br /> ■ Attach this card to the back of the mailpiece, tl�or on the front if space permits. <br /> D. Is delivery address differe om item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery ad ss below: �No <br /> Jim Dilley <br /> Dilley's Sand and Gravel Inc. <br /> 1914 Fdmunds Street 3. Se Type <br /> Brush, Colorado 80723 DROCertified Mail° ❑Priority Mail Express- <br /> 0 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 labeq 7 014 2120 0001 7869 5359 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL$ER 1 s V a.+ `a'"� <br /> at�9al <br /> W}" P''.,i"k`7" �''f't•'Is" 1::• 1 ,�......«.,��,�y��'A8rt�•'�QCr`���'"`».. +,m" <br /> . �nwmw,pw y. <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 <br /> IIIII��liillillliili�l�llll�l�llltlfil�llll+ll�lllll�ll�l�����i <br />