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UNITED STATES 6WW8.MVICE First-Class Mail <br /> Postage&Fees.Paid <br /> -USPS <br /> jf j r'�" Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP++4'tl All I <br /> RE 9` 9b <br /> State of Colorado NOV 092015 <br /> Department of Natural Resources r, <br /> Division of Reclamation,Mining& Safe4VISION OF RECLAAIAT ON <br /> 1313 Sherman Street, Suite 215 MINING-&SAFELY I, <br /> Denver, CO 80203 C-1981014 ' <br /> r <br /> SL3 r. <br /> Notifications of Bond <br /> R lease Jnspection i <br /> ��I I �i t ill�r i � �1#t1��SI �•�11i1,'�©"� +,' .�� <br /> SENDER: <br /> DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. �I ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. .Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 13 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Edward B. Cribbs <br /> 13941 Braun Drive <br /> service Type <br /> Golden, CO 80401 -.6826 3 Certified Mail® ❑Priority Mail Express" <br /> 3 Registered ❑Return Receipt for Merchandise <br /> L3 Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (rransfer from service iabeq ?014 0150 0000 913 8 6621 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />