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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Si re ' <br /> ■ Print your name and address on the reverse X C�z. ( Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Receiv by( Name) _ C. Date of Delivery <br /> or on the front if space permits. �-j - � <br /> 1. Article Addressed to: D. Is delivery address di m item 17 ❑Yes <br /> Howak Strand If YES,enter delivery ad �elow: ❑No <br /> Office of Surface Mining <br /> Western Region <br /> One Federal Center, Building 41 <br /> PO Box 25065 <br /> Denver, CO 80225 <br /> I II III III I II I I I I ( ( IIII I II III Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MalITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mad® Delivery <br /> 9590 9402 2543 6306 1144 43 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> tin ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> 2' Y7 Insured Mail ❑Signature Confirmation <br /> 7 016 2140 0000 2345 9114 D Insured Mail Re*'cted Delivery Restricted Delivery <br /> ---- ----------------� (over$S00) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />