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COMPLETE • e e • ► <br /> ■ Complete items 1,2,and 3 A S ynatur.' <br /> ■ Print your name and address on the reverse X/}r/f G / ❑Anent <br /> so that vie can return the card to you. —_1� �� ►--__-�`_ __ E]Addre_s. <br /> BL ecelved uitad Name) C. Date of Del'�e <br /> ■ Attach this card to the back of the mallpiace � � � <br /> or on the front if space perrnits � a �1< �`/' a <br /> _ _ <br /> 1. Article Addressed to-- — -- - - D. Is dell�ery address dlfierart frol7J Item 1') ❑ es <br /> If fES >j-try <br /> Mr. Melvin J. Brandstadt <br /> 19239 G Road <br /> Delta, CO 81416 <br /> {III!II {I{, IIII{ {III{ {(II '. I{,{I �{ II{ `_ iyp - - ___ __,_r, <br /> Adult c gnats R�_tr �a. er, zU,terau i.i: J'=. <br /> ,� �$Cert fl ed%ail L`:I ar, <br /> �� Q �) [U53 h 3 I t 1-� _I Cert;bed Pdad Restrlctaa Dal'.ery Return Reoelp,for <br /> _ Collect on C=1r.er; PAerchand s- <br /> 6 fJ ,'nCr_ Iryr':Br t'G!,_BfYIrB'a;cry _ C�I`etot D- <br /> �rt-1 <br /> _Irs'.sd Mall re Conn('.-_. <br /> 7016 2140 0000 2346 1049 _Ins ed Mail ReStr, +e Del,,a, R r ter:oEl„ <br /> 17,Er <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7847 13 <br /> United States •Sender:Please print your name,address,and ZIP+47in this box• <br /> Postal Service STATE OF COLO1{ADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> DIVISION OF RECLAMATION,MINING&SAFETY <br /> 1313 SHERMAN STREET,SUITE 215 <br /> DENVER,CO 80203-2243 <br /> Spec. -5-bn <br /> 12iJ �tolo tV File <br /> 11 fill III,111111'1i'lilill'i111'1lililli <br />