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SENDER-COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. i. 1 '�; �ent <br /> ■ Print your name and address on the reverse X 'w�' ❑Addressee <br /> so that we can return the card to you. B. ceived by(Printed Name) C. Date of D iven <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Ye <br /> 1. Article dressed to: <br /> � /� �'` If YES,enter delivery address below: 156� <br /> d oz <br /> �� /"V�/✓Gt y) Co (J 070/ 3. Servic Type <br /> ertified Mail® ❑Priority Mail Express- <br /> 0 Registered eturn Receipt for Merchandis( <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 3803 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE <br /> First-Class MajPaid <br /> Postage&FeeUSPS <br /> Permit No.G-1 <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 GCS <br /> File M 7 Vic! <br />