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i <br /> USPS TRACKWG# <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 /> ID` Department of Natural Resources <br /> JJX4�i Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> aa 2� Denver,CO 80203 <br /> 03G��.��pN C-1981-008 <br /> SL-22 <br /> �s Notice of Insp ; <br /> jh4 ahh <br /> SENDER: <br /> ■ Complete items 1,2,and 3. A.kReceiv <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. X ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1=�9rticle Addressed to! D. Is delivery address different from item 1? ❑Yes <br /> George VanKirkwood If YES,enter delivery address below: ❑ No <br /> PO BOX 70 <br /> Camp Verde, AZ 86322 <br /> II I'III�)IIII ISI I II I VIII I II III II I I III I I II I III 3. Service Type C priorityMan Express® <br /> ❑Adult Signature ❑Registered Mad'm <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 1:1 Certified Maim ery <br /> 9590 9402 2053 6132 7872 64 ❑Certified Mail Restricted Delivery ❑Retu Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 7 016 2 710 DDD 0 2 9 6 5 El Collect on Delivery Restricted Delivery El Signature Confirmation- <br /> 7016 7 lnsurd Mail ❑Signature Confirmation <br /> 7 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />