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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 <br />Department of Natural Resources GG� <br />Division of Reclamation, Mining & SaMill <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 MPB, DIH o \0 oNs�� <br />C- 1981 -041 \'tk <br />SL -8 Inspection Letters for end Release <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 />Providence Place, Inc <br />860 Rapid Creek Road <br />Palisade, CO 81526 <br />iiill iii:idlidI Ili; 1i1i ii) 111 1! -101 .11i1111 :1lih1 iJ., <br />A. Si ature <br />El Agent <br />171 AAA- <br />B. Rocskedby (Ranted Name) C. Date of Delivery <br />D. Isdelivery address diff0rent from item 1? ❑ Yes <br />If YES, enter delivery ad4ress below: ❑ No <br />Service Type ,/" <br />-Mail ;. qtxpress Mail <br />0 registered' C] Return Receipt for Merchandise <br />==.wed Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7011 3500 0002 9605 5204 <br />(Transfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 1 <br />