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USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7865 57 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service State of Colorado <br /> �Q Department of Natural Resources <br /> GJ Division of Reclamation, Mining& Safety <br /> F GV` 1313 Sherman Street, Suite 215 <br /> �i ,�o&Denver, CO 80203 C-1981-008 <br /> W�� <br /> � SL-21 <br /> Insp Notific <br /> i 4 <br /> i <br /> SECTIONCOMPLETE THIS <br /> . <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete iteirr#:`I,2,and 3. A. Signature <br /> ■ Print your naPn�and address on the reverse X ❑Agent <br /> so that we iseturn the card to you. ❑Addressee <br /> ■ Attach this fif to the back of the mailpiece, B. Rece ed by(Printed Name) C. Date of Delivery <br /> n / <br /> or on the front if space permits. <br /> 1- — -- — — D. Is delivery address different from item 1. ❑Yes <br /> MR.HOWARD STRAND If YES,enter delivery address below: [a No <br /> OFFICE OF SURFACE MINING <br /> WESTERN REGIONAL COORDINATING <br /> CFNTER <br /> 1999 BROADWAY SUITE 3320 <br /> DENVER,CO 80202 <br /> II I Iliill IIII III I II I VIII I II III II I II III II I I III d. Service Type ❑PriorityMail Express® <br /> CJ Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2053 6132 7865 57 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationT"' <br /> 2- Ar ❑Insured Mail ❑Signature Confirmation <br /> 7`016 2 710 0 0 0 0 2 9 6 5 19 2 8 :Insured Mail Restricted Delivery Restricted Delivery <br /> - --- - ----- -� (over$5W) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />