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UNITED STATES POSTAL 4Ettt'vED <br />016 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print mr pAmoddress, and Ztfl±-- <br />Division o &Safety <br />Mining <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety`- y' 3 w =',i IBJ, <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C-1981-008 <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 />-Elma. Burbridge <br />P.O. Box -92 <br />Nucla, CO 81424-0092 <br />2. Article Number <br />(Transfer from service labeq <br />PS Form 3811, July 2013 <br />SL -19 <br />Inspection Notification <br />bfb/ahh <br />A Signature �L &4 (! <br />r1yl�, .' ❑ Agent <br />X f�,%V i' •- ❑Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express - <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />7014 2122 0001 7871 p632 <br />Domestic Return Receipt <br />