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�' r " <br />t.► ' <br />UNITED STATES POERVICE <br />OCT Z 7 "i 11 <br />• Sender: <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />address, andAttEmu <br />State of Colorado <br />Department of Natural Resources j <br />Division of Reclamation, Mining & SafetyDN�S10y Or C E <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 C_1996-083 <br />SL -2 Notification <br />Inspection <br />dmidh <br />I i I1I„rii i' �I, i , I <br />s, IIf 1 �klliTlfj1T�i� <br />” <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 mailpi <br />or on the front if space permits. <br />1. Article Addressed to: <br />Barbara Chambliss <br />199 -Clearwater Road <br />Carbondale, CO <br />0 <br />C. <br />D. Is delivery address different from item 19 ❑ Ye: <br />If YES, enter delivery address below: ❑ No <br />lority Mail Express'" <br />Burn Receipt for Merchandise <br />❑ Insured Mau _,)Ilect on Delivery <br />t 4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service /abe, 7 014 0150 0000 913 8 5068 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />