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UNITED STATES POSTAL SERVICE <br />f First -Class Mail <br />I Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />, W-_ 1- 1:1�E� . <br />State of Colorado Kr_*0 jb'.. <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <br />MrLTlslb <br />C_ 1992 -080 <br />C\1-203_005 <br />! <br />-..... ... ...... IItflAlil 111 <br />sp 1 � 2013 <br />G ` ll <br />CLAM SAFETY <br />reement & <br />9i ustific <br />■ Complete items 1, 2, and 3. Also complete A. Slgn <br />item 4 If Restricted Delivery is desired. ❑ Agent <br />• Print your name and address on the reverse ❑Addressee <br />so that we can return the card to you. B. eceived by( ' t d Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. f <br />- - delivery address dlfferent 'JA ❑ Yes <br />Oakridge Energy Inc., Carbon Junction „YES, enter delj4eraddress 1pvi No <br />Attn: Ms. Arbie Marie Price <br />4613 Old Jacksboro Highway'`: <br />Wichita FaUsmZX 76302" <br />Mce Type <br />'" -- JC03 7RWMW Mail ❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 701,0 1060 0001 0936 8518 <br />Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />