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UNITED STATES POSTAL SERVICE <br />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 RECEIVED <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety CT 16 2013 <br />1313 Sherman Street, Suite 215 U <br />Denver, CO 80203 DMSION OF RECLAMATK <br />MPB, DIH IAINING AND SAFETY <br />C- 1981 -041 <br />SL -8 Inspection Letters for Bond Release <br />■ Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse X <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, B' <br />or on the front if space permits. <br />1. Article Addressed to: <br />Town of Palisade <br />PO. Box 128 <br />Palisade, CO 81526 3, <br />lt; i�illtisli! litillt; ti�i'iitil'Iitttit;ltttt{tlti,i <br />0 Agent <br />❑ Addrraccaa <br />vy I n_ red IVa7fve) C. Date f Delivery <br />Is livery address differ1q1t fr)be m 1? 0 Yes <br />If YES, enter delivery address w: 11 No <br />' -�-P4� t Tess Mail <br />Reg sten�d — ` Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4 <br />2. Article Number . Restricted Delivery? (Extra Fee) 1:1 Yes <br />(transfer from service label) 7 011 350 0 0002 9 6 0 5 5136 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />t <br />} <br />