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USP * <br />9590 9402 2543 6306 1374 28 <br />United States reSe—nd—er: Please print <br />Postal Service te of Color. <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 the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />Cne,IryI Fu els C«4(,1-1e- <br />Anh.:.e4iC Adc-,-is <br />1 <br />1 <br />First -Class Mail <br />Postage & Fees Paid <br />:EVED USPS <br />Permit No. G-10* <br />,.�1 062011 <br />your name, addresp,4d rn this box• <br />irong & Safety <br />0 <br />partment of Natural Resources <br />vision of Reclamation, Mining & Safety <br />13 Sherman Street, Suite 215 <br />Enver, CO 80203 Spec ZTT <br />Filed 148 1-0 1 <br />it�titrtiirtl'��fritrril��r11411l!'1'111tfllllll�114I1i'l'i11 <br />A. Si <br />L Agent <br />�( E30 Addressee <br />Received by (Printed Name) C. Date of Delivery <br />r CO04 06", <br />D. Is delivery dress different from item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />P.6. G3 -K 773457 <br />Sfec.nntica," S'Frfnys, Co <br />3. Service Type <br />❑ Priority Mail Express@ <br />II <br />I <br />IIIIII <br />IIII <br />III <br />I II II <br />II III <br />i <br />i I I <br />I II <br />I I II <br />II II <br />II III <br />❑ Adult Signature <br />[I Adult Signature Restricted Delivery <br />❑ Registered MailTM <br />❑Registered Mail Restricted <br />9590 9402 2543 6306 1374 28 <br />❑ Certified Mail® <br />❑ Certified Mail Restricted Delivery <br />Delivery <br />❑ ReturnReceipt for <br />❑ Collect on Delivery <br />❑ Collect on Delivery Restricted Delivery <br />❑ Signature Confirmation TM <br />❑ Signature Confirmation <br />2. Article Number (Transfer from sarvira lahail <br />?016 2 710 0000 2904 5659 lestricted Delivery <br />Restricted Delivery <br />Domestic Return Receipt <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />