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USPS TRACKAVG # First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2053 6132 7814 84 <br />United States <br />Postal Service <br />M� NM��r9$'s <br />■ Complete items 1, 2, and 3. <br />■ Print ypiff 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 />Christine Belka <br />OSMRE-Denver Field Division <br />1999 Broadway, -suite 3320 <br />Denver, CO 80202-3050_ <br />IIIII�IIIIIIII�I�IIIIIIII� II III IIIIII�IIIII�II <br />9590 9402 2053 6132 7814 84 — <br />2. Article Number (Transfer from service label) <br />PS Form 3811. July 2015 PSN 7530 11-000-9053 <br />• Sender: Please print your name, address, and ZIP+4® in this box' <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 <br />,y ,y...._ ❑ Agent <br />�t [%" " Aa-� ❑Addressee <br />B. Received by (Printed Name) C� D� to o� livery <br />D m item <br />If YES eliveenter delivery address <br />ery address below:17 ❑ No <br />3, Service Type <br />❑ Priority Mail Express® <br />❑ Aoult Signature <br />Signature Restricted Delivery <br />❑ Registered Mail" <br />❑ RegisteredDeliMail Restricted <br />❑ Adult <br />❑ Certified Mad® <br />ery <br />❑ Return Receipt for <br />El Certified Mail Restricted Delivery <br />Merchandise <br />❑ Collect on Delivery <br />❑ Collect on Delivery Restricted Delivery <br />❑Signature ConfirmationTm <br />0 Signature Confirmation <br />❑ Insured Mail <br />Restricted Delivery <br />❑ Insured Mail Restricted Delivery <br />Domestic Return Receipt <br />Spec <br />File <br />