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UNYTED STATES POSTAL SERVICE <br />First-Class Mail. ~ /ii ~ /~[Q~7 , ~J,~t,~„ <br />Postage & Fees Paltl U/ _ -U/ <br />LISPS <br />Permit No. G-10 <br />• Sender. Please print your name, address, and ZIP+4 in this box <br />STATE OF COLOfwDO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION. MINING AND SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80243 <br />341300000 <br />)M /~ <br />(6rLII,,,,.Llll,,,„!L„Ll,rl,lrLrir,tl,JI,,,LI„LLI <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired, <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permtts. <br />t, Article Addressed to' <br />~ ~, ~~ ~y~"~"~ <br />ll~n s u 1. <br />A. Signature <br />X ~iGn/(. <br />B. Received <br />~ -$b_ !3/ <br />e /~- der; (~ e,~ ~- <br />~~ / Z'O/o 6 <br />-+~ : ~y t~ c.y~„ <br />~(y1wt. Cov,FsL <br />~'.J~- <br />of Delivery <br />D. Is delivery address tlifferent from hem 14 ^ Yes <br />If YES, enter delivery atldress below; ^ No <br />/~ /J ~ // 3. Service Type <br />~~~ _y / i ,r ,, u ~ r~h ~_ ^ Certified Mail Cl EzPress Mail <br />(.q~7 G'~ ~'~` ^ Registered ^ Retum Receipt for Merchandise <br />~/~ /'~ O ~ ^ Insured Maii ^ C.O.D. <br />o ',7 4. Restricted Daliveryl (EMm Fee) ^ Yes <br />2. ArtiGeNumber 70D3 1680 ~D~~ 6427 9421 <br />n ....rte- r..,....e.,,;..e r.., .. <br />PS Form 3811, February 2004 Domestic Retum Receipt <br />