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0- <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <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 />1. Article Addressed to <br />Connie Davis <br />- Aggregate Industries -WCR, Inc. <br />1707 Cole Blvd., Suite 100 <br />Golden. CO 80401 <br />❑ Agent <br />(� ❑Addressee <br />Received by,(ft7ted Namg) C. Date of Delivery <br />D. Is delivery address different from item 1? 10 Yes <br />If YES, enter delivery address below: ❑ No <br />16'77 Cole awn X300 <br />� ai ACN C(D 8 oyDI <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 3926 <br />(Transfer from service label) _— <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02- M-1540 <br />I <br />ITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />- bIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 <br />Spec.Ps� /Thi�� <br />-- so <br />�y/jS -/13 <br />