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~ ~~~~ ~ <br />M V ZOr6bi~ / <br />~~G~.: t]sr5 / <br />fin, ~ IZY~~ / <br />rE'~:ytr'w (~GL~1(~ ~lv~ ~~ !~ <br />^ Complete items 1, 2, antl 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name antl adtlress 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 />t. Article Addressetl to: <br />~~/'~N ~Ni~~ fi'r' r 5 ~ S <br />lZ~~'~ W1~m~zr'E ~ia~f'~~ <br />C~NIF~~ ~~ ~~~~~ <br />^ Agent <br />B. Received by (Printed Name) C. Date of Delivery <br />~~ ~~ <br />D. Is delvery address diftarem from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. S ice Type <br />~Certlfed Mail ^ press Mail <br />^ Registered ~Rertum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMcted Delivery! (Extra Fee) ^ Yes <br />2. Article Number ^~~~ / /~ , l D ~ / ,`~ ~ /'I /(_ /~ <br />(trans/er lrom service labep / ~ / ~ ~ ~ ~ (l C/, C/f- `~~J <br />PS Form 38y 1, February 2004 Domestic Retwn Receipt <br />102595-02-M-1540 <br />UNnED STATES POSTAL SERVICE ~~ I~ I PermitlNo. G10 <br />Postage 8 Fees Paid <br />USPS <br />• Sender: Please print your name, address, and ZIP+4 in this box <br />STATE OF COLORADO y~p~ <br />DER4RTMEtVT Of NATURAL RESOURCES .~ ~, q` <br />DiViStON OF RECLAMATION, MINING ANO SAFETY ~f <br />1313 SNERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />R~~ ~ <br /> <br />tt„t, tt,,,,,t, ttl,,,,,It,,,t,t„I,t,i„I„tl„It,,, I,t„t, LI <br />