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UNITED STATES POSTAL SERVICE <br />' <br />Pirst-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, <br />and ZIP+4® in this box• <br />RECEA :SEC <br />State of Colorado <br />Department of Natural Resources <br />NOV 2p 15 <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />DIvlston o Reclamation <br />Denver, CO 80203 <br />Mining &Safety <br />C-1981014 <br />SO <br />Notifications of Bond <br />Release Inspection <br />f <br />SENDER: COMPLETE THIS SECTION COMPLETE. ON DELIVERY <br />■ Complete items 1, 2, and 3. Also complete A. Si t e <br />item 4 if Restricted Delivery is desired. � �j <br />❑ Agent <br />_ <br />■ Print your name and address on the reverse ,, � <br />❑ Addressee <br />so that we can return the card to you. B. Received by (Printed Name) <br />■ Attach this card to the back of the mailpiece, <br />C. net f Delivery <br />or on the front if space permits. <br />D. Is delivery address different from item 1? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Dan Dale <br />P.O. Box 341 <br />_Florence, CO 81226 <br />2. Article Number <br />(Transfer from service label) <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 0150 0000 9138 6638 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />