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• SECTION • s • DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign e <br /> III Print your name and address on the reverse El Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received rioted Name) C. Date of Delivery <br /> or on the front if space permits, 'P, /Z7/ <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> m�f� + �1t1S v If YES,enter delivery address below: [INo <br /> L3es <br /> 3v/ C <br /> '�C'y 6mtle lie� <br /> /`' 840 60 8vs43 <br /> II I III II I') II I II IIIII I II I(I II IIII II I I III 3. Service Type ❑Priority Mat Express® <br /> ElAdult Signature ❑Registeredred MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricts <br /> 9590 9402 2053 6132 7848 50 El Certified <br /> Mail® Delivery <br /> Certified Mail Restricted Delivery ❑Return Receiptfor <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number{Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" <br /> isured Mail ❑Signature Confirmation <br /> 7 014 2120 0001 7869 9340 sure Mail Restricted Delivery Restricted Delivery <br /> wer$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> USM, 7RACMG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7848 50 <br /> United States •Sender: Please print your name,address,and ZIP+4®in this box;' <br /> Postal Service 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 53 V Q <br /> -'22436-S li�lil�r�i��lirrirtllfallilli��rilil��!„liliiitllitllllifrlli�ll <br />