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STATE OF COLORADO <br />Division of Minerals and Geology <br />Department of Natural Resources <br />1313 Sherman Street, Room 215 <br />Denver, Colorado 80203-2273 <br />341300000 <br />~~ <br />M1' <br />I ra (: <br />P 436 784 322 ( J <br />f.n f/ <br />,- i <br />~. <br />~ `~ , <br />C~ceG-t ~L'~cN <br />755~~ ~ ~ u~ ~/at ~ <br /> <br />rOi~=r1*~+i: <br />w <br />,5 <br />Ilrrlrilrrrrrrllrrlrllirrrrl~rlr~rllllrrttrl~r~irrlrll~rrlrl~l <br />" SENDEfl: <br />•COmplela Xerro 1 arxvw Z for eddllbnal eervkae. <br />I elso WISh to rBCBIVB the <br /> •camgeta items s, ae, end ab. following services (tor en <br /> •PrMf yow name arM eddreu on the rewre• of Mia form w Mat we ren velum 1Na extra 1eB <br />) <br />[ 1 <br /> urtl to you. <br />•Anech Mb roan to the hoot of tM mallgere, w m tM beds i l.pare dose not 1. ^ Addressee's Address <br /> <br />pertrit. <br />•Wdle'Rerum Recwrpf Requeered'an the mailpiece below Me aside mm~ber. <br />•Tlw Re1um Receipt will show to whom ele snide was delivered end the date <br /> <br />2. ^ Restridad Delivery N <br /> were <br />del <br />d Consult postrnaster for tee <br /> . <br /> d <br />t <br />s <br />/' <br />3 4e. Article Ny~ , r <br />G ' ! ~ , ^ <br />!-I <br />(~ <br />/ Q , <br /> -r~ <br />c5 <br />~ <br />~ <br />,~ ~~ ~fy-~- <br />GT <br />~-T <br />c' <br />V <br />G <br />i' <br />! I ~ <br />k- <br />~ ~ <br />-Ld_ <br />P o <br />( <br /> f <br />/ <br />[ <br />~ <br />7 <br />/ <br />~ <br />/ <br />/ / l CO ~GK rr'/ ~ L L}~, <br />(~ bb. Service <br />Typ <br />e <br />^ Registered ~ ~Gerdged ~ <br /> r. <br />y/~^ <br />~CI( <br />~~ <br />i <br />~~ ~ <br />^ Express Mail ^ Insured p <br />= <br /> . <br />. <br />(~ ^ RetumReceiptfarMerdtendse ^ COD <br /> 7. Date of Delivery <br /> <br /> >` <br /> 5. R I ed By: Pdnf Name) (" <br />~ 8. Addressee's Address (Only if requested <br />aid) <br />and lee is <br /> N 2 (/ <br />) p <br />5 6. Signs Address Agent <br />T <br /> PS Form 3811, D er 1eB4 lozses sr-a-0n9 Domestic Return Receipt <br />°" - _ -~_ _ <br />d -~-~--- -__ <br />"- - <br />