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UNITED STATES.4RbMff-V5-N*C lE First-Class Mail <br /> LISPS e&Fees Paid <br /> x6 J,- 4 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 <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 M-1999-077 MV-2016-066 <br /> Notice of Violation <br /> LJW GRM AJW <br /> lrl llu li u r II ' 1'I Irre rfilli liSENDER: COMPLETE THIS lrrl r r t <br /> SECTIONCOMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign ture <br /> item 4 if Restricted Delivery is desired. X — 0 Addressee <br /> Agent <br /> ■ Print your name and address on the reverse LcLnsw <br /> so that we can return the card to you. B. Received by(Printed Name) 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: ❑ No <br /> Rob Englehart <br /> Montezuma County <br /> 1 ores Road i <br /> Co rt p ,,, 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 7 014 2120 0001 7 8 8 5 2 8 3 7 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />