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1111111111111111111111111111111 <br />I <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No.:G <br />9590 9402 2053 6132 7867 00 <br />United States •Sender: Please print your name, address, and ZIP+4® in this box' <br />Postal Service State of Colorado <br />�o Department of Natural Resources <br />1001 Division of Reclamation, Mining & Safety <br />Ori%\001313 Sherman Street, Suite 215 <br />% ` J JWver, CO 80203 9 <br />q a'�e. <br />{�e0,2010.0$ <br />Doj�s�`��n9�s SL'1 'Pee <br />t <br />10 <br />B 4'I A,O <br />■ Complete items 1, 2, and 3. <br />■ Print your 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 />Hrncie�ddress chi to: --- <br />Howard Strand <br />Office of Surface Mining <br />Western Region <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <br />IIIII'�'II'lll'IIIIIIIIIII IIIA III IIIIIIIIIIII <br />9590 9402 2053 6132 7867 00 <br />from SBN%Ce labe/I <br />7016 2710 0000 <br />2965 4622 <br />ra corm 0611, July 2015 PSN 7530-02-000-9053 <br />Si tu <br />❑ Agent <br />B. Received by (Printed Name)=CDate;�fl <br />delivery ,�geryaddress different from item 1? to Yes <br />, enter delivery address below: 0 No <br />Service Type <br />I3, <br />❑ Adult Signature <br />D Priority Mail Express® <br />❑ =nature Restricted Delivery0 <br />❑Certified Mail® <br />❑ <br />Registered Mail- I <br />0 RVistered Mail Restrictedi <br />very <br />Certified Mail Restricted DeliveryDtlI <br />❑ Collect on Delivery <br />O Retum Receipt for <br />• Collect on DeliveRestricted Delivery ❑ Signature ConfirmationTm i <br />❑ Insured Mail <br />❑Insured Mail Restricted Delivery <br />(over $500) <br />❑ Signature Confirmation <br />Restricted Delivery I <br />' <br />Domestic Return Receipt <br />