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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 ZIP+4® in this box* <br />State of Colorado <br />Department of Natural Resources Z� <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 21' <br />Denver, Co 80203 C-1996 =4NtNG <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 />Alan Boehms <br />Office of Surface Mining <br />Western Region <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <br />SL -2 <br />Inspection Notification <br />jdm/dih <br />A. Signature <br />X� ) ❑ Agent <br />�/'�l�h( ❑ 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 />El Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 014 0150 0000 913 8 5051 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />