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e�oszai beriice— <br /> CERTIFIED o <br /> RECEIPT <br /> In Ln Ln Domestic Mail Only <br /> C3 o co <br /> Zj- Certified Mail Fee <br /> m m m <br /> Iv ; ru ru $ <br /> _ Extra Services&Fees(cheat box,add tee as appropriate) <br /> Q ❑ rdcopy) $ <br /> Return Receipt(ha <br /> C3 �� C3 ❑Return Receipt(electronic) $ Postmark <br /> C3 C3 ❑Certified Mail Restricted Delivery $ Here <br /> C 3 C3 C3 [:]Adult Signature Required $ <br /> �� ❑Adult Signature Restricted Delivery$ <br /> C3 �� C] C7 Postage <br /> n.l (l i rl l Total Postage and Fees <br /> $ <br /> -U -M Sent To <br /> rq r-a <br /> C3C7 C3 .--------------------------------------------------- <br /> � � � Street and Apt.IVo.,or PCb$ox No <br /> �ify,$fate,Z/P+4a-------------------------------------------------------------------- <br /> PS Form :•• <br /> e <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please pi int 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 Spec <br /> File <br /> Firsf I'Benfonife <br /> 216 J"vili-r <br /> iahfla' 812�01 <br /> (71t)j 539--iE>93 <br />