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U"WMG # <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2543 6306 1358 13 <br />United States • Sender: Please print your name, address, and ZIP+4® in this box* <br />"Postal Service stale or coloraao <br />ODepartment of Natural Resources <br />��LNje, Division of Reclamation, Mining & Safety <br />viV 113 Sherman Street, Suite 215 <br />3�-)enve� CO 80203 <br />G� Q o <br />Q eo�a e� <br />C1981 -o13 <br />o�� Sad SL -7 <br />Inspection Notification <br />i i ! ii ti i ,tint It tt <br />,i��r � <br />i•i/�'HH�.. <br />— � I i Il Itliti it ! ! i i ilii t tt - <br />■ Complete items 1, 2, and 3. A. signature <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, B• Received <br />� <br />or on the front if space permits. , r <br />1. Article Addressed to: <br />Las Animas County <br />200 East First St <br />Trinidad, CO 81082 <br />0 Agent <br />0 Addressee <br />tinted Name) C. Date of Delivery <br />raA% <br />Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: p No <br />3. Adult Signatureice <br />Express® <br />❑ du <br />II I IIIIII IIII III I II II II III I I I I I II II II II IIII III ❑0 Adult Signature Certified Mai ®Restricted Delivery L <br />9590 9402 2543 6306 1358 13 ❑ Certified Mail Restricted Delivery ❑ Return Re - <br />0 Collect on Delivery Merchandise <br />2. Art' _ ^ Collect on Delivery Restricted Delivery ❑ Signature Confirmation*"' <br />7 014 0150 0000 913 8 5 7 61 nsured Mail ❑ Signature Confirmation <br />Isured Mail Restricted Delivery Restricted Delivery <br />I (over $500) <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />