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Ut4ljq��qp 'C <br />g - JM 2DIA 9V1 I't <br />• Sender: Please print your name, address, and WK this box • <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 5 t o{ penal ty <br />G-Aq'5A mour rjrj CNI 201 of ?to\ ea P <br />�N <br />11'1{!'!1111 <br />• Complete items 1, 2, and 3. Also complete A. Signature <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. E� ceived by( <br />■ Attach this card to the back of the mailpiece, �v <br />or on the front if space permits. <br />1. Article Addressed to: <br />Jim Stover <br />Minrec Inc <br />2352 N 7th St; Suite B <br />Grand Junction, CO 81501 -8168 <br />I )agent <br />❑ Addressee <br />a4 oj�?�very <br />D. Is delivery address different from item 14 U'Ye: <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 7009 2820 0003 5700 5987 <br />(IFansfer from service label <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M -1540 <br />