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UNITED STATES POSTAL SERVICE <br />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 />RECEI ar—, <br />Lj <br />State of Colorado <br />Department of Natural Resources NOV 172015 <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 Divi 'on o, Reclamation, <br />Denver, CO 80203 ZninV & Safety <br />C-1981014 <br />Sl_3 <br />Notifications of Bond <br />Release Inspection <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" card to the back of the mailpiece, <br />or on rout if space permits. <br />1. Article Dressed to: <br />,,T na Gallagher <br />K2T <br />400 CliffsideCA Drive <br />94526 <br />Danville, <br />A. Signature <br />X gent <br />❑ Addressee <br />B. Regeived by (PrintoO Name), ' I C. Dat"f DRlivery <br />D. Is delivery address differrt frofn item 1? LU Yet <br />if YES, enter delivery addrea6 below: ❑ No <br />3. Service Type <br />❑ Certified Mails ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service labeq 7 014 0150 0000 913 8 5488 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />