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First-Class Mail , <br /> UNITED STATES;,R,0 1i� VICE Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • <br /> IT print your name, addre;s, and ZIP+4®in this box* <br /> Sender <br /> RECEIVED <br /> State of Colorado <br /> Department of Natural Resources DEC 1.;; 2015 <br /> Division of Reclamation,Mining& Sakq;—of Reclamation. - <br /> 1313 Sherman Street, Suite 215. _--,,,, Ing g,Safety I <br /> Denver,CO 80203 <br /> C-1981-028 <br /> SL-8 <br /> inspections Notification { <br /> I <br /> COMPLETE THIS SECTION <br /> :i <br /> ON <br /> COMPLETE <br /> • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> ❑Agent <br /> item 4 if Restricted Delivery is desired. ❑Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Printed NatC.�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? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Alan Boehms <br /> Office of Surface Mining <br /> Western Regional Coordinating Center 3. Service Type <br /> 1999 Broadway,Suite 3320 ❑Certified Mail® ❑ riority Mail Express" <br /> Denver,CO 80202 ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?( ra Fee) ❑Yes <br /> 2. Article Number 7 014 0150 0000 913 8 9622 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />