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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si u <br /> item 4 if Restricted Delivery is desired. c)A ❑Agent <br /> ■ Print your name and address on the reverse t� ❑Addresse <br /> so that we can return the card to you. B. e� by(PrinteMTN, <br /> C. Date Del'v <br /> ■ Attach this card to the back of the mailpiece, �✓ <br /> or on the front if spice permits. <br /> D. Is delivery add ss differen _ 7 Yes <br /> 1. Article Addressed to: <br /> If YES,enter delive^Q Iress "lo `�,, No <br /> Mr. Doug Derr <br /> Broken Arrow Investments,LLC —0 <br /> 801 8th St.,Ste.130 ? <br /> Greeley,CO 80631-3903 <br /> 3. Service Type i <br /> ❑Certified Mail® ❑PnorityIil Express" <br /> ❑Registered ❑Return Meipt for Merchah'& <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) O Yes <br /> 2. Article Number 7 014 0150 0000 9138 3682 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> 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, and ZIP+4®in this box• <br /> State of CO -Dept. of Natural Resources <br /> Division of Reclamation, Mining &Safety <br /> MINERALS <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> 34130000 M-2007-017 <br /> 30-day follow-up letter <br /> PSH WHE AJW <br />