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DELIVERY <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A. Sigi <br /> t <br /> item 4 if Restricted Delivery is desired. X �� sssee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B Rec livery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. D. Is d <br /> 1. Article Addressed to: If YI V ^�`� �/ ✓ <br /> Division of Reclamation, <br /> Mining, & Safety <br /> 1313 Sherman St. Room 215 1_14*. <br /> Service Type <br /> Denver, CO 80203 ,Certified Mail ❑Express Mail <br /> ❑Registered Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number ?010 3090 0000 9569 222? <br /> (Transfer from service labeo <br /> PS Form 3$11.February 2004 Domestic Return Receipt <br /> 102595-02-M-1540 <br /> g {S u1. lnt ' l <br /> (Q0l l--Mr- " S'() i I d - r7 8 <br />