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- . <br /> CERTIFIED o RECEIPT <br /> Domestic <br /> it <br /> .n <br /> o hh. <br /> r_1 I 1 M, tit .� . <br /> r.. �A <br /> Postage $ <br /> ti Postage: 5�= ` <br /> Certified Fee: ,'r trReturn Receipt Fee-,z $31777z2 <br /> Res <br /> 3 c <br /> u Total Postage an Tot, tl g d Fees o��b S 3 5 �CS <br /> r, sent To <br /> se & NoPOBfo <br /> City,State,Z1P+q ----------------------------------- <br /> UNITED STATEdIrOkX VICE <br /> T�a, First-Class Mail <br /> Postage&Fees Paid <br /> 09 MAY 416 USPS <br /> Permit No.0-10 <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 Spec EGS <br /> File 4 I9770g4 <br /> 'I'll!"I'11�111111'�il"w-Ili'iI11i1�1i,1i111r7dii111nh It <br /> SENDER: • • . ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. SIT,,qture <br /> item 4 if Restti9ted Delivery is desired. El-Agent <br /> ■ Print your name And address on the reverse X AIN ❑Addressee <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, N--, <br /> or on the front'if space permits. 1'1 S <br /> D. Is delivery address different from item 1? 0 Yes <br /> 1. Article Addressed to: r If YES,enter delivery address below: <br /> �o✓A&VI S�� 1/ � G �eI Tilt. <br /> / / 5-- A-V 3. Service Type <br /> )2tertified Mail® ❑Priority Mail Express- <br /> f r <br /> 00r n CC) �7o ❑Registered ❑Return Receipt for Merchandise <br /> 1 ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 212 0 0001 7871 0694 <br /> (Transfer from service/abeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />