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UNITED STATES POSTAL SERVICE Postage &Feels Paid <br />USPS <br />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 ,�9oTol <br />Division of Reclamation, Mining & Safety QR <br />1313 Sherman Street, Suite 215 P oFRe`Sa <br />Denver, CO 80203 SL -10 IDN `S�0%vo 9& <br />C-1981-041 <br />•hb/ahh _ Inspection <br />J illl4l'ill�iIf" NiAiill 114NNitiw pIii 'hill <br />a Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />A. Signature <br />�)J"' <br />X <br />Agent <br />— ❑ Addye <br />B. R <br />ted Name) <br />C1QaWgf 41 <br />D. Is 404yrlfddress different from item 1 U At <br />If YES, enter delivery address below: No <br />U.S. Bureau of Land Management <br />Grand Junction Field Office <br />2815 H Road <br />Service rype <br />Grand Junction, CO 81506 ❑ 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 5273 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />