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UNITED STATES NQ T"O_ RVICE <br />17 FFEB `1 <br />• Sender: Please print your name, <br />First-Ctass Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />State of Colorado FEB L Z LU 10 <br />box* <br />Department of Natural Resources N OF RECLAMATION <br />Division of Reclamation, Mining & ftING AND SAFETY <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 Spec C IjsI oto <br />File Roz <br />C_1g81-014 <br />gL-4 <br />Inspection Notification Letter <br />RDZ <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 />'. U) (y ❑ Agent <br />Re eiv b Printed e) D e of eli <br />D. Is delivery address different rom item 1? ❑Yes <br />If YES, enter delivery address below: ❑ No <br />W. D. Corley <br />The Corley Company <br />2605 Constellation Drive <br />Colorado Springs, CO 80906 <br />3. Service Type <br />�Illillll�llllillli�llll�l���l�l�������lli <br />WCertified Mail® ❑ 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 serv/ce labeg 7 014 2120 <br />0001 7869 7407 <br />r-orm Sts 1 1, July 2013 Domestic Return Receipt <br />