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USf <br />t_# <br />First -Class' Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2053 6132 7865 33 <br />United States • Sender: Please print your name, address, and ZIP+4® in this box• <br />Postal Service <br />State of Colorado <br />Department of Natural Resources <br />�><sion of Reclamation, Mining & Safety <br />�c�`N 1313 Sherman Street, Suite 215 _ _— <br />R ��enver, CO 80203 <br />MAR 2 � 2 C-1981-44 <br />�C,lau4t�oN SL -4 <br />lstr:r#'1llflrl��iifiFii!!b'si?:! at�eY L et� <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 />1 Article Addressed to: <br />Christine Belka <br />A. <br />OSM <br />1999 Broadway Suite 3320 <br />Steamboat Denver, Colorado 80202 <br />— l .4-- U Addressee <br />_bJy (Printe N�e�� C. Dalt of ivery <br />- CCC ��7) 7M <br />Is delivery address different from item 1? 0 Ye: <br />If YES; enter delivery address below. 0 No <br />IIIIIII'I ILII ISIIIIIVIIII II III VIII I IIII i III <br />9590 9402 2053 6132 7865 64 <br />3. Servicee <br />V Adult Signature <br />0 Adult Signature Restricted Delivery <br />C Certified Mail® <br />0 Certified Mad Restricted Delivery <br />❑ Collect on Delivery <br />C PriorityExpress <br />❑Registered MaiP^^ <br />0 Registered Mail Restricted <br />Delivery <br />0 Return Receipt for <br />Merchandise <br />2_ ArHnia 1%] —har /Trancfar frnm service label) <br />1 <br />7 014 015 0 0000 913 8 610 2 <br />-- --- _ _ __ <br />❑ Collect on Delivery Restricted Delivery <br />— Insured Mall <br />Insured Mail Restricted Delivery <br />_ (over $500) <br />0 Signature ConfirmationTM <br />u Signature Confirmation <br />Restricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />