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—r--- <br /> �H43i1/mI aINIrVI'►r <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING&SAFETY <br /> Attn:Camille Mojar <br /> 1313 SHERMAN STREET, ROOM 21S <br /> DENVER,CO 80203 <br /> 341300000 <br /> 7018 2290 0001 8923 1434 <br /> r ' <br /> I <br /> RECEIVED <br /> JAN 1-12023 <br /> \, DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> SENDER: COMPLETE THIS SECTION • I771 <br /> Irm- <br /> ■ Complete items 1,2,and 3. A Signature■ Print your name and address on the reverse Xso that we can return the card to you.■ Attach this card to tote back of the maiipiece, B• Received by(P <br /> or on the front if space permits. <br /> 1_ Article Addressed to: D. is delivery address different from item 1? <br /> If YES,enter delivery address below: <br /> Mary Vasquez <br /> 750 Crisman nr Ar.t A-)nl <br /> Longmont, -R—T—S— 805015226-1N 01/ <br /> IIIII�IIIIII'IIIIIIIIIII RETURN TO SENDER <br /> UNCLAIMED <br /> 9590 9402 4401 8 UNABLE TO FORWARD <br /> RETURN TO SENDER <br /> 2. Article Number Mransfer fro, <br /> 7018 2290 OC <br /> PS Form 3811.July2015 II�IIIIIIIIII�I...I.IJlllll'illl'I'll.+illll'Il'l1��1�1191��i <br /> i i :1F: ,FFF _ tiFiF <br />