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• SECTION <br /> ■ Complete items 11'Z' 3. A. SiP57 <br /> ■ Print your name and address on the reverse EJ Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, • R by N C. Date of Delivery <br /> or on the front if space permits. 111 <br /> 1. Artic D. Is delivery address different fr411/�item 1? 1:1 Yes <br /> Howard Strand If YES,enter delivery address lolnlf,' ja No <br /> Office of Surface Mining <br /> Western Region <br /> One Federal Center, Building 41 <br /> PO Box 25065 <br /> Denver, CO 802253.I I <br /> II I III II IIII III I III II I I I III I I II � � I I III 11 Adult ice e El Priority Mail Signature ❑Registered MailpTMss® <br /> ❑Adult Signature Restricted Delivery ❑R gtstered Mail Restricted <br /> 9590 9402 5506 9249 0549 06 El Mail® Delivery <br /> C3 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"' <br /> 7 016 2140 0000 2346 1889 EJ Insured Mail El Signature Restrict d Delivery <br /> Confirmation <br /> i❑Insured Mail Restricted Delivery rY <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />