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UNITED STATES POSTAL SERVICE 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 />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />�Oio 802o� 32-0� <br />X2011-2 <br />JUN 3n ?nth J?�15 gL-1 ed Dec <br />.1, Propos <br />uVisiono <br />Mining & SafeiY <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, Arfirlc Arlriraoonrl +-- <br />A. Sigh4ture <br />Agent <br />❑ A <br />X l4 9 <br />>,�,�!"��-� ❑� Addressee <br />B. Received by (Printed Name) C. Date of pelivery <br />D' Is'delivery address different from item 1? ❑ Yes <br />nter delivery address below: ❑ No <br />Las Animas County Commissioners Zvc) C, <br />County Commissioner <br />200 East First Street, Room 104�`,,,�eC�_.� <br />Trinidad, CO 81082 We <br />❑ Certified Mail® ❑ Priority Mail Express - <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 7010 1060 0001 0936_ 0871 <br />Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />