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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 />(RECEIVED <br />State of Colorado <br />Department of Natural Resources JUN 12 2014 <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, <br />Sutp� :n of Re <br />clamation, <br />Denver, CO 80203 1�8 <br />19�80 -007 <br />SL-6 <br />Inspection Notification <br />jrs /ahh <br />ttt�ill�t�tt�iflltt�l�litn�iil � ►��1rr-�1��- <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 />Oxbow Carbon <br />P.& Box 535 <br />Somerset, CO 81434 <br />A. Sign f <br />1 Agent <br />X 0 Address <br />B. Received by ( Printed 1 me) C. Date of geliv <br />/ / / <br />D. Is delivery address different from item 1 ?/13 Nos <br />If YES, enter delivery address below: <br />3. Service Type <br />0 Certified Mail ❑ Express Mail <br />0 Registered E3 Return Receipt for Merchandise <br />0 insured Mali 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7009 2820 0003 5700 5963 <br />(Transfer from service labeq -- <br />102595 -02 -M -1540 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />