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UNITED STATES P0S[7ilFsF$#&tyE0 <br />DEC 14 2017 111111 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: F,jeaserptift Mie, address, and ZIP+4® in this box* <br />RECEIVED <br />DEC 14 2017 <br />Division 41 Reclamation, <br />Mining & Safety <br />■ Complete items 1, 2, arld 3. Also complete <br />item 4 if Restricted Delivery is dgsired. <br />■ Print your name and addres on the reverse <br />so that we can return the cad you. <br />s Attach this card to the back of the mailpiece, <br />or on the front if space ggrmds. <br />1. Article Addressed to: <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203-2243 <br />Rio Blanco County Commissioners <br />P.O. Box I <br />Meeker, CO 81641 <br />A. Sign#ture <br />1:1�� Agent <br />C 1981-019 <br />SL -12 <br />Prop Decision <br />ZTTIW <br />B. Riaceped by (Printed Name) I C. pate of Delivery <br />12--11-17 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ 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 ------70-12--3--460--00-00- 6385 2441 <br />(transfer from service /abeq _ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />