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UNITED STATES' SFRVICE First-Class Mail <br /> S Postage&Fees Paid <br /> 17 ELS 1.16 USPS <br /> 111111 Permit No.G-10 <br /> Pel 6 L Po—oft <br /> • Sender: Please print your name, addre i s box• <br /> State of Colorado FEB 'L< *LU io <br /> Department of Natural Resources N OF RECLAMATION <br /> Division of Reclamation, Mining&"DING AND SAFETY <br /> 1313 Sherman Street,Room 215 <br /> Denver, CO 80203 Spec iUlDLq <br /> File RUZ., <br /> C-1981-014 <br /> . SL-4 <br /> Inspection Notification Letter <br /> I <br /> RDZ <br /> COMPLETE <br /> SECTION . <br /> ■ Complete I""s 1,2,and 3.Also complete A Signature <br /> item 4 if Fidstfiricted Delivery is desired. n <br /> ■ Print your name and address on the reverse Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, Rec ived by(, m e) C. Date DelivQry <br /> or on the front if space permits. pv',3__ � z7_"df,df 17 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> :- If YES,enter delivery addrognbelow: L�plo <br /> EdwArrd B. Cribbs <br /> 1394 Braun Drive <br /> Goldbrn, CO 80401-6826 <br /> li ililn lulillii Ili� � 3. Se ice Type <br /> I I I I I I I I I I I I I �I Certified 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 service label) 7 014 2120 0001 7869 7438 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />