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# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 8402 2053 6132 7870 73 <br /> United States •WtKr:Please print your name,address,and ZIP+4®in this box* <br /> Postal Sorvice State of Colorado <br /> Department of Natural Resources <br /> ivision of Reclamation,Mining& Safety <br /> � 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 C-1981-028 <br /> S�Q 2 q 100N SL-10 <br /> \o of "� jhb/ahh <br /> D <br /> s <br /> III III fill It11If1i11'1ii111111r1111111i11i11!])11114!f ",r�a <br /> o <br /> SENDER: COMPLETE THIS <br /> SECTION <br /> ■ Complete items 1,2,and 3. <br /> A. LIF■ Print your name and address on the r verse <br /> so that we can return the card to you. X L Agent <br /> ■ Attach this card to the back of them (piece, B. Received b Addressee <br /> or on the front if Space permits. _ Y(Printed Name) C. Date f D ' ery <br /> 1 Article Addressed to: le—Q s4, L BY O w d <br /> D. Is delivery address different from item 1? Y <br /> Cogs Energy Company If YES,enter delivery address below: ❑ No <br /> 1801 California Street <br /> Suite 4600 <br /> De'ler, CO 80202 <br /> Service Ill�III'I I'll(IIIliIVIIIl it III llll II itl I l III G dullt signature <br /> goa u� Q Re <br /> IJ <br /> mail,- <br /> El <br /> Ea pMess® <br /> 9590 9402 2053 6132 7870 7 Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mad® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> 2, _.__. T_ _� f. -or a o rahcill ❑Collect on Delivery Merchandise <br /> ?014 Q15 0 Q El Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> Q Q Q 913 8 <br /> 6 2 2 5 �]Insured Mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000+9053 (over$soo <br /> Domestic Return Receipt <br />