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USPS TRACKING # <br />.r 5�.. ro., 'a3 i..`'� "2S Ys. -1 i ..Y"i.!..;,'.>3 �, �..i f , ,x ' %e.�*ko:.-.,iya 1r'Ir��Tli1QSS IVI�1'••.•r n,. <br />U PSS ;.,•.:.,.. ... <br />t, r,r., ..'. w. _ ••�,�. ••�erfraii`i�o:'�=`IQ,.. <br />9590 9402 2053 6132 7815 83 <br />United States <br />Postal Service <br />RF -CE <br />®ivision of RE <br />tjM09 & <br />■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed tn. _ <br />Colorado Department of <br />Transportation <br />222 S 6th St <br />Grand Junction, CO 81501 <br />• Sender: Please print your name, address, and LIN+4, In inls Dox - <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />,CO 80203 <br />C-1981-041 <br />SL -11 <br />CCWIAHH <br />pW7t;jgn Notif <br />iiNi�iiliNFF�lFF�7'N���ii F�NtFii FN I+FiNlf�ti��t <br />A. Signature <br />X A 4F,✓ L� g,'ent <br />❑ Addressee <br />B. Receive by (Printed Nam_gl C. Date of Deli e <br />e5i� , f <br />D. Is delivery address different from item 1? 0 Yes <br />If YES. enter delivery address below: 0 No <br />III'III'I <br />I II <br />ISIIII <br />IVIIII <br />II III <br />IIIFII'I <br />I I II <br />III <br />3 Service Type <br />Ci11Regist Adult Signature <br />G Mail Express® <br />9590 9402 2053 6132 7815 83 <br />❑ Adult Signature Restncted Delivery <br />O Certified Mail® <br />Registered MaiIT^^ <br />❑ Registered Mail Restricted <br />Delivery <br />❑ Certified Mail Restricted Delivery <br />❑ Collect on Delivery <br />0 Return Receipt for <br />Merchandise <br />2 7 y 6 T --- '" `"'^ ^^^' ^^ ration <br />2 710 0000 2965 4868 <br />❑ Collect on Delivery Restricted Delivery <br />El Insured Mad <br />0 Signature ConfirmationT. <br />0 Signature Confirmation <br />-----______ <br />- - - — - - —__ <br />El Insured Mad Restricted Delivery <br />over $500) <br />Restricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />