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C1996-083 <br />SL -1 <br />Inspection Notification <br />jdm <br />RECEIPTU.S. Postal ServiceT. <br />CERTIFIED MAILT. <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />r-Tir-mwr-n7n, i rT;nM 171,1-71 Tj <br />N <br />ca <br />Postage: $0,48 <br />C3 Certified Fee: 3. �P\ <br />C3 (Er Return Receipt Fee: 52.80 iJ i <br />OR t N <br />C3 (Er Total Postage & Fees: <br />-I' Tote <br />M Alan Boehms <br />rusent <br />� Office of Surface Mining _ <br />M1 or PO Western Regional Coordinating Center <br />ciy 6 1999 Broadway, Suite 3320 <br />MIZ Denver, CO 80202 <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 />I Mo <br />i; <br />OAA <br />manor, <br />p M�n�n9 <br />A. Sigryature <br />+Receied <br />❑Agent <br />X ❑ Addressee <br />B. (Printed Name) C. Date of Delivery <br />ObnkflkllU fiillo <br />D. Is elivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Alan Boehms <br />Office of Surface Mining <br />Weste�pRo9infial Coordinating Center service Type <br />1999 Broadway, Suite 3320 ❑ Certified Maile ❑ Priority Mail Express' <br />Denver, CO 80202 ❑ Registered ❑ Return Receipt for Merchandise <br />_,_�_ - _ ❑Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6384 7478 <br />(Transfer from service labeq — <br />PS Form 3811, July 2013 Domestic Return Receipt <br />