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7005 1820 001 1605 9616 <br />y ~~ y m <br />o <br />E ~ _"- m <br />a <br />3c 3m 1 <br />u =0 3a n <br />~ro ~=_ An ~ <br />w a~ a°a - o <br />m an $T' ~ w <br />m n <br />• ~ <br />\/ 9 • <br />V m s J+' <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 permits. <br />1. Article Atltlressed to <br />The Division of Reclamation <br />Mining & Safety <br />1313 Sherman Street <br />ROOM 215 <br />Denver CO 80203 <br />ATTN SUZI ERICKSEN <br />A. <br />, <br />B. Received by (Prinred Name) <br />] Agent <br />D. Is delivery address differem from ttem 1? U Ye! <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mall <br />^ Registered ^ ReNm Receipt for Memhandise <br />O Insured Mail ^ C.O.D. <br />4. ResMcted Delivery) (Extra Fee) ^ Yes <br />z. ArticleNUmber 7005 1820 0001 1605 9616 ' <br />(Tians/erhom serNCe <br />PS Form 3811, February 2004 Domestic Return Receipt 5ozsssaz-ratsu <br />^ Complete items 1, 2, and 3. Also complete <br />item-d~if~Restdcted 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 permits. <br />1. Article Addressetl to: <br />The Division of Reclamation <br />Mining & Safety <br />701 Camino Del Rio <br />ROOM 15 <br />Durango CO 81301 <br />ATTN BOB OSWALD ~ <br />A Signature / <br />X - _ / 1] Agent <br />B. eceivetl by (Printed Name) C. Date of Deli <br />D. 1s delivery address different fiom ftem 5Z ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ lnsuretl Mail ^ C.O.D. <br />d. Restdctetl Delivery? (Extra Fee) ^ yes <br />2. Article Number 7005 1820 X001 165 9623 <br />(riansfer Irom service label) <br />PS Form 3811, February 2004 Domestic Return Receipt tozsssaz-m-tsao <br />`.- <br />_ - `-I' to <br />~_a~~.~ _3,_~ ~; o <br />~:. _. .,_ .. _ o <br />-- _ - 3.,;..,~,~ o <br />--- <br />