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UNITED STATES PO$~A~ ~~~~ <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION MINING AND SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />~ ' K~~ ~~ <br />N"C~l <br />~~ ~^t i . r1':.f l i <br />341300000 <br />Fi~Q ~ <br />`ZI ~~IIU~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. "• °'b"°`"'°~~ I <br />~' ,~ <br />~ <br />' <br />~ <br />~ <br />" <br />~ Agent <br /> 4L <br />- <br />( <br />` <br />X L~'~~ Gc ^ Addressee <br />^ Print your name and address on the reverse _ <br />so that we can return the card to you. B. Received by f Rdnt9d7Varne C. D ate of Delivery <br />^ Attach this card to the back of the mailpiece, ~~ ~ ~, y r ~, ~~~~ Ctt ' <br />or on the front if space permits. <br />D. Is~delivery address different hOrnltem 1? <br />^ Yes <br />i. Article Addressed to: <br />' If YES, enter dellYery ~Efr~ss below: <br />. I ^ No <br />1 <br />b~ r~ k,~ ~- ~~ ~~t ~ <br />, <br /> , <br />~~ <br />~ <br />/ / <br />,,~ ~y <br />y3~F:' C L-~li/// `J ~ ~!~ ~ / - .~~ <br />3. Service type <br />/ <br />/, ~ <br />~, /~ /'~ ~~,, ^ Certified Mall ^ Express Mail <br />^ Registered ^ Return Receipt f <br />or Merchandise <br />Z <br />CC..~~ / ~ ^ Insured Mail ^ C.O.D. <br />/ // <br />~ /G~, ? (Extra Fee) <br />d Delive <br />t <br />i <br />t <br />4 ^ Yes <br />:7 ry <br />r <br />c <br />e <br />. Res <br />2. Art~leNumber 7005 31],0 <br />(Ransfer lrom service k 0000 2197 5838 <br />PS Form 3811, February 2004 Domestic Return Receipt 702595-02-M•1541 <br /> <br />