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U� ' # '�� First-Class Mail <br /> Postage&Fees Paid <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7814 53 DMSION OF RE LA,�N+ <br /> MINING AND <br /> United States •Sender: Please print your name,address,and ZIPW in this box• <br /> Postal Service tate of Colorado <br /> R�CE�vepartment of Natural Resources <br /> Division of Reclamation, Mining&Safety <br /> 4 ` Q 1313 Sherman Street, Suite 215 <br /> r, CO 80203 C.2009-087 <br /> Ck RE SLA <br /> -Will <br /> # {11ii"t�'{#fllit{iti'{lil{11tit t 111'{iill'T*111111 Dec <br /> 1111'�'�#ii"1IiI111f1illlilillllil'fl#lli#ittijtp�p�'� <br /> SECTIONSENDER: COMPLETE THIS <br /> • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X Agent <br /> so that we can return the card to you. — ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑ es <br /> Routt County Commissioners-- If YES,enter delivery address below: ❑ No <br /> County Commissioner <br /> P.O. Box 773598 <br /> Steamboat Springs, CO 80477 <br /> II I IIIIII IIII III I II I VIII I II III II I I VIII III III 3. Service Type G Priority Mail Express <br /> ❑Regist <br /> ❑Adult Signature Registered MadTM <br /> ❑Adult Signature Restncted Delivery ❑Registered Mail Restricted <br /> l@ Delivery <br /> 9590 9402 2053 6132 7814 53 0 Certified <br /> ed lvMtail Restricted Delivery ❑Return Receipt for <br /> - ❑Collect on Delivery Merchandise <br /> M r„to t on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> ?016 2 710 0000 2965 4776 d Mail ❑Signature Confirmation <br /> d Mail Restricted Delivery Restricted Delivery <br /> 500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />