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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <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 />Colorado State Board of Land Commissioners <br />1313 Sherman St Room 620 <br />Denver, CO 80203 <br />State of Colorado <br />Department of Natural Resources <br />Division of Recla on, Mining & Safety <br />13 `SO Suite 215 <br />De� CO 80203 JLE, SB1 <br />C- 1981 -010 <br />N SL -15 insp Notification Lt <br />— „-noN <br />DMSION OF Rt r' ET f <br />LNG N�p SAF <br />A. Signature saP!'!�_t;p,a <br />❑ Agent <br />X ° ` >t'�� ❑ Addressee <br />B. Received by (Printed Name), C. Date of Delivery <br />11 1 >” J;C1', <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <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 7211 350p 2022 9625 5275 <br />(transfer from service IabeQ <br />PS Form 3811, February 2004 Domestic Return Receipt - IU2595 -02 -M -1540 <br />