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N <br />UNIT2T9 DDoVfXL §r, ACEN cc, * i' a. <br />03 AUG 2-01S PrA I aid <br />..W�1 <br />• Sender: Please print your name, address, and ZIP+4® in this box• <br />RECEIVED <br />State of Colorado <br />Department of Natural Resources AUG 0 6 2015 <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215_ Division of R Safety n, <br />De ver, CO 80203 ���ining &Safety <br />AB C-1996-083 <br />162015 <br />:eclamatioN <br />Safety <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 mailpieoe, <br />or on the front if space permits. <br />1. Article Addressed to: <br />U.S. Forest Service, <br />Paonia Ranger District <br />P.O. Box 1030 <br />Paonia, CO 81428 <br />SL -1 <br />Inspection Notification <br />h-- <br />A. Signature l <br />x A( 0, /1 . � !-�) r ❑ Agent <br />B. Received -by (Printed Name) C. Date of De_ livery <br />Aj (hAV;t Fh:l(,yrs g"- ; (5 <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® ❑ Priority Mail Express - <br />13 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(rranster from service )aW ?012 34600-0-0-0- 6385 2496 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />