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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 />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 />■ 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 />1. Article Addressed to: <br />C,981,019 �s1On `etter <br />proposed pec <br />A. SiW�� <br />nature <br />X <br />B. RWcrived by (Printed Name) <br />// 1. <br />D. Is delivery address differerit&m <br />If YES, enter delivery add b <br />Rio Blanco County Commissioners <br />P.O. Box -1 <br />Meeker 81641 Type -- <br />tified Mail® ❑ Priority Mail Express- <br />___ listered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />❑ Agent <br />-)6I-Addressee <br />C. Dat s of/Deliyery <br />// 1, /711 <br />Uo <br />Yes <br />Ye <br />4. Restricted Delivery?(Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service label)7 014 2120 0001 7869 6196 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />