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i SENDER-COMPLETE THIS SECTION OMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign` <br /> item 4 if Restricted Delivery is desired. ❑A ent <br /> X <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, 1,21 <br /> or on the front if space permits. L 1 <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Levi Schlosser <br /> Schlosser Incorporated <br /> 755 H 3. Service Type , <br /> wy 385 I$Certified Mail® ❑Priority Mail Express'" <br /> Burlington co 80807 ❑Registered 1-1Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 6507 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE, s: �� *'• I <br /> '9 Fee& <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 kA , Spec r'►Xk <br /> File m.:�,o)4M <br />