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UNITED STATES POSTAL SERVICE <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 this card to the back of the mailpiece, <br />or on the front if space permits. <br />Articles GrlrlrpgCBd to: <br />Moffat Cdbnty <br />Commissioners <br />221 W. Victory Way <br />Craig, CO 81625 <br />=First-ClaPaid <br />- Sender: Please print your name, address, and ZIP+4® in this box - <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <br />A. Signature <br />X -7'� <br />B. Received by (Printer <br />Is d#fiv <br />If YES, <br />61981"019 Decis1On Letter <br />prop°Sed <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />)item 1? ❑ Yes <br />below: ❑ No <br />AN i I 2016 <br />3. ServiceTypet r,, 1,,jg 6, Jacor <br />❑ Certified Mails ❑ Priority Mail Express" <br />❑ Registered 0 Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 2120 0001 7869 6189 <br />(transfer from service .__ _., <br />PS Form 3811, July 2013 Domestic Return Receipt <br />