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1 P1'1 <br /> I ?2 33 w �... <br /> 9592 9422 2053 6132 78 + ®;r,tniG nix• <br /> rint our name,address.and ZIP 4 <br /> United States •Sender:Please p Y <br /> Postal Service State of Colorado <br /> Departnient of Natural Resources <br /> Safety <br /> Division of Reclamation,Mining <br /> 13 Sherman Street, Suite 215 C1981_019 <br /> EC,E,VEOenver,CO 80203 AAS <br /> R s <br /> AUG g 2019 Prof Dec , <br /> TION zttlahh ,} <br /> pNl MG <br /> #fl'#}�}}}+ +I#�ftlll;i�►# 3:�itri. <br /> S10N OF <br /> MINING <br /> SENDER: COMPLETE THIS SECTION <br /> COMPLETE THIS SECTION ON DELIVERy <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. // 0 Age essee <br /> ■ Attach this card to the back of the mailpiece, B. Receiv by(Printed ame) C. Date /Delivery <br /> or on the front if space permits. n� <br /> 1. Article Addressed to: D. Is delivery address different from item 17 0 Yes <br /> If YES.enter delivery address below: ® No <br /> Blanco County <br /> CQDWSSiOners <br /> P.O: Box I <br /> Meeker,CO 81641 <br /> �� �� TI III II I I III I I II I III <br /> r, Service Type C Pnonty Mail Express@ <br /> Signature ❑Registered MadTM <br /> Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 2053 6132 7872 33 ed Mail® Delivery <br /> d Mad Restricted Delivery 0 Retum Receipt for <br /> Collect on Delivery Merchandise <br /> 2. Arrirlo nl imh—rr— F]Collect on Delivery Restricted Delivery ❑Signature Confirmation- <br /> 7 01,6 2710 000 2 9 6 5 4530 ]Insured Mail 0 Signature Confirmation <br /> _-____ ]Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br />