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UNITED STATES �O$Ti9Ls,,FsRVICE <br />First -Class Mail <br />Posta <br />USPSge &Fees Paid <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP-q'�qx,• <br />State of Colorado <br />Department of Natural Resources JUN 212016 <br />Division of Reclamation, Mining & Safety WSION CF DP,LAM47 <br />1313 Sherman Street, Suite 215 � _ ; , <br />Denver, CO 80203 L--=kFE Y <br />C19g2-056 <br />CV -2016-00, <br />Noice of P <br />Civil Pe�altoPoseci <br />!rs/ahh y <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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />M. aiyugl�tl�- / <br />X Agent <br />(/ ❑ Addressee <br />B. Receivgd b� (Prro C at %/v <br />�� / ry <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Jerry Netttleon II <br />Twentymile Coal Company <br />29515 Routt County Road 27 <br />Oak Creek, CO 80467 3. Service Type <br />EI Certified Mail® ❑ Priorit Mail Ex ress" <br />2. Article Number <br />(transfer from service label) <br />y p <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4, Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 2120 0001 7871 0298 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />