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UNITED STATESVOSTAL SERVICE """s;�� .. <br />s e aid <br />• Sender. Please print your name, address, ancRMEWWD <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <br />a 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 />Lester F. Goforth <br />P.O. Box 541 <br />Nucla, CO 81424-0541 <br />bfb/ahh <br />APR 0 7 201) <br />pWION OF RECL N i <br />G-1981-008 <br />SL -18 <br />Inspection <br />Notification <br />d-111tli'liilii111tifiiilIIII11111litiiIIIiiii1J'il1I1i1i1iiii;t <br />A. Signature Qhs <br />� ,/,IBJ ❑ Agent <br />x <br />E3 Addressee <br />B. Received by (Printed&'t� <br />C. Date of Delivery <br />"5fe '1 <br />D. Is delivery address different from item 1. 13 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express - <br />r -1 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 2120 0001 7869 6059 <br />(Transfer from service fabeq <br />PS Form 3811, July 2013 Domestic Return Receipt <br />