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C3 <br />ra <br />tr <br />-0 <br />CID <br />r- <br />0 <br />0 <br />0 <br />0 <br />ti <br />r--1 <br />ru <br />r� <br />0 <br />N <br />For delivery information, visit our welosite at www.0 <br />Postage: <br />Certified Fee: $$�; <br />(Ends Return Receipt &Fee:' r. <br />Pew <br />(Endo <br />Total Postage & Fees: °x,$8.9lc <br />i <br />Total P—....._ o -- ' °P <br />Christine Belka <br />sentT°Senior Regulatory Program Specialist <br />- --•6 OSMRE, Western Region Office <br />or PO 13 <br />Sheet <br />c-------1999 Broadway, Ste 3320 <br />Denver, CO 80202-3050 <br />ECEiVED <br />APR 0 2016 <br />DIVISION OF REE <br />MINING AND C� ON <br />Certified Mail service provides the following benefits: <br />■ A Certified Mail racaint rthia nnrtinn of the <br />Certified Mail I tl <br />■ A unique ident C-1994-082 TDNX16140182005 <br />•deliveryicveril C-1981-044 TDNX16140182004 'Ipt, <br />• <br />signature) that C-1982-057 TDNX16140182001 nt <br />servantfor a <br />nmay <br />; C-1982-056 TDNX16140182002 <br />■Youm ypuer h' C-2009-087 TDNX16140182003 <br />First -Class W <br />Service®, or - ... __...__, ....... is <br />■ Certified Ma a the addressee specified by name, <br />intemationa' TDN Resp <br />addressee's authorized agent. <br />■ Insurance ci n s plic, Ie sta a to cover the <br />MPB/AH delivet,�r�/� <br />purchase wi H agtl, Ira <br />the purchas- - _ iociate for assistance. <br />change the insurance coverage auromauu—, . , that your Certified Mail receipt is <br />included with certain Priority Mail items. ac,:epted`gyl p(Aof�f �p should <br />■ For an additional fee, you may request the bear a U p tm . y like a <br />following services: postmark on this Certified Mail receipt, please <br />- Return receipt service, whic video u e{ijge¢ �a�'tt ept gt aP® <br />with a record of delivery (in i c 3rMhg'(f ju>8( <br />recipient's signature). You f t, it ch <br />hardcopgtpj91 atloie x it to the <br />version. For h co return receipt, m5iMPNTWtage, and <br />complete Ps i p P;ee&80203 <br />Receipt attach PS Form 3811 to your ' iMP01115W.. Save this welpt for your records. <br />Ps Form 3800, July 2014 (Revues) PSN 7590-02.000-9047 <br />■ Complete items 1, 2, and 3. Also complete A. Signat re <br />item 4 if Restricted Delivery is desired. E3Agent <br />X <br />■ Print your name and address on the reverse ❑ Addressei <br />so that we can return the card to you. B. Received by (Printed N e)� C. Date of Deliver <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery addr s different from item 1? ❑ Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Christine Belka <br />Senior Regulatory Program Specialist <br />OSMRE, Western Region Office <br />1999 Broadway, Ste 3320 <br />Denver, CO 80202-3050 <br />3. Service Type <br />IR 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 7 014 2120 0001 7869 6110 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />