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USPS 7RACKNG # <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2543 6306 1357 21 'v�® <br />United States• Sender: Please print your name, address, and I +4® in this box• <br />Postal Service 5t to or Lolioraao <br />Department of Natural Resources p,UG 22 2011 <br />Division of Reclamation, Mining & Safety .r,L,MATlON <br />1313 Sherman Street, Suite 215 i�� nci CRY <br />a �nAA <br />Denver, CO 80203 <br />■ Complete items 1, 2, and 3. <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 m tsthe mailpiece, <br />or on the front if space <br />1 pArlc Qrin-1—d to, <br />--Colorado State Board of Land <br />Commissioners <br />1313 Sherman St Room 620 <br />Denver, CO 80203 <br />II I'III'I I'II ISI I�I�II II,III l I I I I II III II I I �I I III <br />9590 9402 2543 6306 1357 21 <br />tie, rrimmter from service label) <br />7014 0150 0000 9138 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />) . Signature <br />X Received <br />Printed Name) <br />B. Received by ( - <br />PJW <br />C-1981-010 <br />SL -19 <br />Inspection Notification <br />rar/ahh <br />0 Agent <br />C. Date of Delivery <br />0 Yes <br />D. Is delivery address diff ddressss belOW 1? ❑ No <br />If YES, enter delivery <br />3estrloted <br />5 9 0 7 Domestic Return Receipt <br />❑ Prlority Mail ExPress® <br />3. Service Type <br />0 Registered MailT" <br />Mail Restricted <br />Cl Adult Signature Delivery <br />0 Adult Signature Restricted <br />El Registered <br />Delivery <br />00 ertified Mail® <br />0 Certified Mail Restricted Delivery <br />❑ Return Recelpt for <br />Merchandise T. <br />O Collect on Delivery <br />on Delivery Restricted Delivery <br />❑Signature ConfirmatiZ"n <br />13 Signature Confirmation <br />1 ❑Collect <br />n Insured Mail De livery <br />Restricted Delivery <br />3estrloted <br />5 9 0 7 Domestic Return Receipt <br />