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UNITED STATES POSTAL SERVICE EIVE irst -Class Mail <br />ostage & Fees Paid <br />USPS <br />7,0 12014 Permit No. G -10 <br />• Sender: Please print your name, addM6F9(;+ i ION box • <br />MINING AND SAFETY <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 <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 />C -�9$ �42pp1 <br />to Pay Fixed Penalty <br />CV 20 <br />otice and order -� <br />N' ��f�'► �j1' ��II���T 'I�i���,,,. :�ll����iiij�i,iill <br />13 <br />A. Signature <br />B.LLReceived by ( Printed Name) r C. Date of Delivery <br />1 �Yldl/L(�, &`31 :(a �c�ED <br />D. Is delivery address different from item 19 ❑ 'ei <br />If YES, enter delivery address below: ❑ No <br />MINREC, INC <br />2352 N 7TH ST. STE B <br />GRAND JUNCTION, CO 81501 -8168 3. Service Type <br />1 ❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />2. Aftiwe' Number ,�, •a -t '... c <br />(Trarisferirom service logo <br />PS Form 8814, February 2004",., <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />2820 0003 5700 5918 <br />stic Return Receipt <br />1. ❑ Yes <br />102595 -02 -M -1540 <br />