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1 <br />r � <br />UNITED STATEt'0691i'`L— SERVICE First -Class Mail ' <br />t, x Postage & Fees Paid <br />4� LISPS <br />` , ?�{ 7�R "_�=�t Permit No. G -10 <br />• Sender: Please print your name, affklR§,f rrd-f this box • <br />State of Colorado DMS10N OF RECLAMATION <br />Department of Natural Resou0 AND SAFETY <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C_2009 -087 <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 />Alan Boehms <br />Office of Surface Mining <br />Western Regional Coordinating Center, <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <br />SL-3 Notification <br />inspection <br />`1dm1 dih <br />ig4 iijiit4l}ti�tFl €i�� <br />A. Sign afti J <br />t - '�✓ !� i ~ ` _ l _ Agent <br />�( <br />y.'✓ >[03 Addressee <br />B. Receivgd 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 />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 <br />(Transfer from service label) 7 012 3460 0 0 0 0 6384 6 310 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />