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i <br /> USPS TRACKNG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7872 57 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service <br /> State of Colorado <br /> �G® Department of Natural Resources <br /> G��++ <br /> Division of Reclamation,Mining& Safety <br /> 4v9 1313 Sherman Street, Suite 215 <br /> 0`x.01 <br /> 2Denver,CO 80203 <br /> C-1981-008 <br /> SL-22 <br /> Notice of Insp ; <br /> �Ao Q ',ti f'.ahh <br /> }I�iF�}IF}2 }1�}iSll�}f►Ilti�lffill}i#fIIlFIF%IIfF� �`Z3ajhYds <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. sign re <br /> ■ Print your name and address on the reverse X ❑Agent <br /> d mit we can return the Card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B eceived by(Printed Name) Date of Delivery <br /> or on the front if space permits. �61 G•r/ <br /> 1. Article Addressed to: D. Is delivery address diflerent from item 1? ❑Yes <br /> Mr. Dirk Richards If YES,enter delivery address below: ❑ No <br /> P.O. Box _153 <br /> Nucla, CO 81424-015L <br /> 3. Service Type °Priority Mail Express® <br /> II I�II'I I'II Iii I it I VIII II III II I I I IIII I I III °Adult Signature °Registered Madrm <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 2053 6132 7873 32 °°Certified Mail® Delivery <br /> Certified Mail Restricted Delivery °Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) °Collect on Delivery Restricted Delivery °Signature ConfirmationTM <br /> °Insured Mail °Signature Confirmation <br /> 7 016 2 710 0000 2904 67170(oma r$.500�)I Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />