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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 ZI ;,1 i. 1pX• <br /> jP <br /> State of Coloradolm6 <br /> Department of Natural Resources <br /> AUG Department j <br /> Division of Reclamation,Mining&SafetyTION <br /> 1313 Sherman Street,Room 215 QMSI0yN p S�A� <br /> Denver,CO 80203 <br /> wl N tti <br /> C-1981-008 <br /> SLA9 <br /> y i y i inspj e.0on Notifiication <br /> COMPLETE • ON DELIVERY <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature_ <br /> item 4 if Restricted Delivery is desired. gent <br /> X 0 Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Pri trLe�Name) of De very <br /> ■ Attach this card to the back of the mailpiece, C) d/� ). <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ..Sk'Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> Sian Garvey <br /> C%loraclo Cooperative <br /> Company <br /> PD. Box 413 3. Service Type <br /> Nucla, CO 81424 0 Certified Mail® 0 Priority Mail Express- <br /> El Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number 7014 2120 0001 7871 0601 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />