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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> Agent <br /> ■ Print your name and address on the reverse X / <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. R ved by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> deli cA"s item 17 ❑Yes <br /> Ms. Amv Brooks YEIy"M �1 m s below: ❑No <br /> -;tle Rock Construction Companv of Colorado. LLC <br /> 6374 South Racine Circle SEP 1 b 2021 <br /> Centennial,CO 801 l 1 <br /> M-2021-002 M-2019-(X)2 E. Russell <br /> DIVISION OF RECLAMATION <br /> 3. re El Priority Mail Express® <br /> ❑Adultdull Signature O Registered MaiIT" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1133 85 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> P. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signature ConfirmationTM <br /> n Insured Mail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 4336 tsured Mail Restricted Delivery Restricted Delivery <br /> rver$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />