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UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> LISPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box• <br /> State of CO -Dept. of Natural Resources <br /> Division of Reclamation, Mining&Safety <br /> MINERALS <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 M-1982-090 MV-2016-020 <br /> 34130000 NOV Letter <br /> THM GRIM AJW <br /> SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Receiyecl.�y 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 /> Camp Bird Colorado,Inc <br /> Scott A.Butters <br /> P O Box 806 <br /> Sa City,UT 84110 <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 7014 2120 0001 8040 2259 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />