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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING&SAFETY <br /> Attn:Camille Mojar <br /> 1313 SHERMAN STREET,Suite 215 <br /> DENVER,CO 80203 <br /> 341300000 <br /> 7018 2290 0001 8923 3636 <br /> CAW <br /> 10 <br /> W-T <br /> ax.) <br /> Ell <br /> REC <br /> IV <br /> JM02 Z <br /> CobWO Division of R <br /> P .= <br /> and$a <br /> THIS SECTION ON DELIVERY <br /> COMPLETE <br /> t ; <br /> A.SENDER: COMPLETE THIS SECTION Signature <br /> ■ Complete items 1,2,and 3. <br /> L7 Agent <br /> :,_`. address on the reverse X ❑Addressee <br /> ¢3.,., ' .,.,,. Y ■ Print your name and C. Date of Delivery <br /> so that we can return the card to you. B. Received by(Printed Name) <br /> si�.=.�•;: ■ Attach this card to the back of the mailplece, <br /> or on the front if space permits. D. Is delivery address different from item I ❑Yes <br /> ! If YES,enter delivery address below: ❑No <br /> ton <br /> MineWater LL <br /> .- Joe Herring <br /> xY- <br /> : 6 <br /> ' ? : _f;e` M�"�.. ;• 10924 Leroy Dr. <br /> CO 80233 <br /> Nor <br /> th6lenn <br /> 3. Service Type ❑Priority Mail Express® <br /> a,,ry'q'a� __;? a - .:_ ,•< ❑Adult Signature ❑Registered Mal <br /> IT'" <br /> I'II�I'II I I I'III�II Registered Mail Restricted <br /> c;= p Adult Signature Restricted Delivery ❑Reg <br /> ,w,:f s^ +>'.;. '• Certified Mal® Delivery <br /> +* _ ❑Return Receipt for <br /> j"• r ,_,,," M1, ❑Certified Mall Restricted Delivery merchandise <br /> 9590 9402 4401 824$9008 17 ❑Couect on Del'very <br /> ❑Signature Confirmation- <br /> " Collect on Delivery Restricted Delivery p Signature Confirmation <br /> s •`.- ,; '• (Transfer from service label) -cured Mal Restr cted Delivery <br /> a ;, ., . 2. Article Number(r gyred Mail Restricted Delivery <br /> 701�8 2290 0001 8923 3636 3r$500 <br /> e <br /> :;:�. ,�. " Domestic Return Receipt . <br /> July 2015 PSN 7530-02-000-9053 <br /> :s., ,:.•' rt -' PS Form 3811, <br /> . r:C''.`i-r.�,' _ _ ...•.*�,: 'a. .-.?s< :#'6d"µ'gs _ _ <br /> �3 . , RETURN TO 5 i'i�'+=P <br /> UNCLA1!vIELD. E <br /> UNABLE TO FORWARV <br /> +"r2�34� <br /> BC . 804032s4�85 01 ]�aia �frf32ti <br />