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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signatur <br /> ■ Print your name and address on the reverse X __Agent <br /> so that we can return the card to you. ❑Address <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Dellve <br /> or on the front if space permits. �� et,ii, -- 7— <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Thomas M.Eve <br /> Butala Construction Company <br /> 9000 CR 152 <br /> Salida,CO 81201-9519 <br /> II�'II'I I'I 'I I II �I'�I I (III I II 'I II I I 3. Service Type ❑Priority Mad Expresso <br /> Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restri< <br /> ❑Certified Mad@ Delivery <br /> 9590 9402 2053 6132 7836 62 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery El Signature Confirmatior <br /> lail ❑Signature Confirmatior <br /> 7 014 2120 0001 7885 5272 lail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receil <br /> USPS_SAC MG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No. G-10 <br /> 9590 9402 2053 6132 7836 62 <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 /> enver, CO 80203 nn-1977-1170 <br /> 30-day Grace letter <br /> DMC GRM AJW <br /> III'11111'fl'Ill'Ills'IIIlllllllfllll'Illl�l�lllirrlllllllllr,ill <br />