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UNITED STATES POSTAL SERVICE Itdt-Class Mail <br /> �L,L- Postage&Fees Paid <br /> USPS <br /> it No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4® � , sa'f�3t• <br /> D1'j`SM n ng <br /> &Sa{e�y <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 _ - <br /> Denver,CO 80203 C_1951.041 <br /> pr9 oposed Dec <br /> lel ahh <br /> r}��Y13lild (I <br /> I -- <br /> SENDER: COMPLETE THIS SECTION 1 COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. SiqQatur.e <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse X )((Wf1j ❑Addressee <br /> so that we can return the card to you. 779A) <br /> y(Printed Name) C. Date of Del'very <br /> ■ Attach this card to the back of the mailpiece, .� /Z_1_r <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: ❑No <br /> Mesa County Commissioners <br /> 200 S. Spruce <br /> Grand Junction,CO 81501 <br /> 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express' <br /> ❑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 5105 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />