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�IIIIIII��IIII IIIII AM 0 UGG�05 21 <br /> A U 1 <br /> UNITED STATES <br /> A 50021 7020 1290 0000 8170 2863 '°"°`=ER°.�E° <br /> 1004 <br /> 80203 6.55 <br /> R2303$102701-80 <br /> I <br /> i <br /> 1 i <br /> Division of Reclamation, Mining, & Safety <br /> Dept. of Natural Resources /� ►� <br /> 1313 Sherman St., Room 215 4VO <br /> Denver, CO 80203 D/ to'vCI� <br /> _�_I MiNjNQ ���Mqr <br /> l�'�SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to- D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below. ❑No <br /> 5)jerockieX J� <br /> 17t°v1q-tr ,, Cc <br /> 3. Service Type M ❑Priority real Ex IlTm <br /> O Adult Signature O Registered Ma IITM <br /> O Adult Signature Restricted Delivery 0 Reggistered Mail Restricted <br /> ❑Certified Mall® DeUvery <br /> 9590 9402 6825 1074 8772 23 ❑Certified Mall Restricted Delivery ❑Signature ContlrmationTm <br /> ❑Collect on D,glivery ❑Signature Confirmation <br /> 2. Article Number(transfer from service label) 10 Collect on Delivery Restricted Delivery Restricted Delivery <br /> cured Mail <br /> 7020 1290 0000 8170 2863 :ured Mail Restricted Delivery <br /> er$500) <br /> �S Form 11,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt . <br />