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UNITE# AtTa LrP 01 9-,RY �4 <br />• Sender: Please print your name, address, and ZIP+44D box - <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety NSF �E Sal <br />1313 Sherman Street, Suite 215 kk <br />Denver, CO 80203 C-1981-038 <br />SL -5 <br />Proposed Dec <br />jdmldih.... <br />.I <br />ililli�i�il++au sie:{1,�+il++IE+illi+�+;+��+I`I' <br />SECTION <br />■ Complete items 1, 2, and 3. Also complete Signature <br />item 4 if Restricted Delivery is desired.�� «c c O 13 Agent <br />■ Print your name and address on the reverse ❑ Addressee <br />so that we can return the card to you. B. eceived by (Printed Name) C. Date of Delivery <br />■ Attach this card to the back of the mailpiece, `� <br />or on the front if space permits. V , / G_ rL> >` /� 'AT lr e <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />1. Article Addressed to: <br />Delta County Commissioners{ <br />County Commissioner <br />501 Palmer Street, #227 <br />Delta CO 81416 Service Type <br />0 Certified Mail® [3 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 ?014 2120 0001 7 8 71 042? <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />