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~~ 19R~-a~~. <br />,., ~~ ~ vim. fi ~- <br />;. _. <br />2 !vt a ~ <br />r .._ .-.. <br />4 _, _ _ <br />t UNITED STATES POSTAL SERVICE <br />First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION MININGpryp <br />1313 SHERMAN STREET, SUITE 215 SAFETY <br />DENVER, COLORADO 80203 <br />341300000. <br /> <br />- lea. ~~1M <br />~e ~ ~;oss <br />`~~~,~,~ir~rfa,fir,~~,rr~~~,j~~»jri;~rr~ri~~rr~~rrr~r~rr~r~i~ <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.~A%rticle Addressed to: / / > ~ <br />z ~ /~~~~dr~/f <br />~J~/e.~~~~~ ~~ <br />i <br />~i 2 ~~ <br />A Signature ~ <br />X ~ ^ Agent <br /> ^ Addressee <br />B. Received by (Prin d Name) C. Dat of qslivery <br />Ql~,, ~ / ~l167 <br />D. Is delivery address different from ' em 1? ^ Yes <br />If YES, enter delivery address below: ~J No <br />3. Se Ice Type <br />--Cert~ed Mail ^ Express Mail <br />Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. ' <br />4. Restricted Delivery? (Exha Fee) ^ Yes <br />2. Article Number <br />(Transfer from service labs! 7 0 0 3 16 8 D a a o 0 6 4 2 2 810 8 <br />PS Form 3811, February 2004 Domestic Return Receipt io2esso2-nn-~sao <br />