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UNITED STATESQTRVICE First-Class Mail <br /> 't`-'aa- _r Postage&Fees Paid <br /> 17 I-EB `16 USPS <br /> Permit No.G-10 <br /> PIA 13L <br /> • Sender: Please print your name, addre i s box- <br /> State of Colorado FEB Z < <U`16 <br /> Department of Natural Resources N OF RECLAMATION <br /> Division of Reclamation,Mining&4WNGAND SAFETY <br /> 1313 Sherman Street, Room 215 <br /> Denver,CO 80203 Spec lgji oto{ <br /> File K02- <br /> C-1981-0`14 <br /> SL-4 <br /> Inspection Notification Letter <br /> RDZ <br /> COMPLETESENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Si nature <br /> item 4 if Restricted Delivery is desired. P ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name)-- Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, '- U <br /> or on the front if space permits. t+I- �� <br /> D. Is delivery adre <br /> ffe rom ite ? s <br /> 1. Article Addressed to: If YES,enteraddress below: 11 No <br /> �tt, <br /> Dan Dale FSS X016 <br /> P.O. Box 3-41 <br /> Florence, CO 81226 3. Service Type <br /> I I I i i I I i I i i Certified Ma® rP i Express <br /> III I 1 Jill,l 1111 1 1 III 1 1 1 <br /> 1:3 Registered ReturnI�Q erchandise <br /> ❑ Insured Mail ❑ o e ivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service labeq 7 014 2120 0001 7869 7 414 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />