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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address,RECEI®x• <br />State of Colorado FEB 2 g 2016 <br />Department of Natural Resources <br />Division of Reclamation, Mining & SafeON OF RECLAMATION <br />AND <br />1313 Sherman Street, Suite 215 M1ieo <br />Denver, CO 80203 <br />TDNX16140182004 <br />TDNX16140182005 <br />TDNX16140182003 <br />TDNX16140182002 <br />TDNX16140182001 <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 rpailpiece, <br />or on the front if space permits.t►, <br />1. Article Addressed to: <br />Christine Belka <br />Sefflor Regulatory doh <br />Program Specialist <br />Ace of Surface Mining <br />1999 Broadway Ste 3320 <br />Denver, CO 80202-3050 <br />A. Signature <br />X IkAgent <br />0 Addressee <br />B. Received by (Printed Name) b. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® 0 Priority Mail Express, <br />❑ Registered ❑ Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2 Article Number <br />(Transfer from service /abeq 7 014 2120 0001 7869 6165 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />