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f�ECENED <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> AUG u 2016 uses <br /> Permit No.G-10 <br /> Ot <br /> • Sender: Pleas`O�A�yq&WW, address, and ZIP+4®i!i this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&SafeW."1510;i <br /> 1313 Sherman Street, Suite 215 I:11N11L� ' y'' [Y <br /> Denver,CO 80203 C-1981-008 <br /> SL-19 <br /> Inspection Notification <br /> t i i i bfb/ahh <br /> COMPLETE • ON DELIVERY <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete i e <br /> item 4 if Restricted Delivery is desired. X < Agent <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Recei y(Printed ame) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> Moore, Michael <br /> and JoAnn <br /> 3. Service Type <br /> P.O. Box 326 13 Certified Mail® 0 Priority Mail Express- <br /> Nucla, CO 81424 13 Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail 0 Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7871 0243 <br /> (Transfer from service/abeO <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />