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_W/Yai1/l1ila1 1 M.'Fl <br /> jCOLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural RLsource <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO80203-2243 7014 2120 0001 7885 3636 <br /> 341300000 7014 2120 0001 7885 3636 <br /> oil ' Q p $ <br /> NI <br /> c�j ' bo y o • <br /> Glacier G '�° • �� x • <br /> Jim Helm _ d j� <br /> 995 High s H • . <br /> Durango <br /> G <br /> K> <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> 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. S. 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 /> 9�5 �i�hra� 3 <br /> c� 3. Service Type <br /> f)�c,yy( vv U 15D` ❑Certified Mail® ❑Priority Mail Express- <br /> 0 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 2120 0001 7885 3636 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />