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ON1 0 <br />OG -J-Pr` <br />�o �S <br />R� <br />UNITE,.,v Tffp?d� .JTPOi "'i 'rj fv�~► :5" --C6 Molfir 172YI.13 pfv� 2 Li <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado I <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver,CO 80203 tee <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 />AIR <br />eG`5`or het <br />sed O <br />L <br />A. gnaf <br />� Agent <br />X Li« ❑ Addressee <br />B. ceived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Board of County Commissioners <br />Montrose County <br />161 S. Townsend Ave <br />Montrose, CO 81401 <br />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 <br />(Transfer from service label) 7 010 1060 0 0 01 0936 8 6 4 8 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />