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UNITED STATES;f g9aMt,$�RVH-*! First-Class Mail <br /> Postage&Fees Paid <br /> x { '' USPS <br /> `3 JAN '17 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 80203-2273 1 7 <br /> Spec. <br /> File# <br /> hilA <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. re <br /> item 4 if Restricted Delivery is desired. 4■ Print your name and address on the reverse ❑Agent <br /> X <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. R t ived by.(Pri ted Name C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Ms. Johanna Newman <br /> Shell Frontier Oil & Gas inc. <br /> Woodcreek, E76-g <br /> 150-C North pai 3. Service Type <br /> ►Y Ashford ❑Certified Maile ❑Priority Mail Express- <br /> Houston, TX 77079 ❑Registered ❑Return Receipt for Merchandise <br /> El Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7 8 6 9 9920 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />