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UNITED STATES ldl r <br />` ? Paid <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 />341300000 <br />Fite # 'AL:- -/ 3z <br />¦ Complete items 1, 2, and 3. Also complete A. Signatur ?._ ?--------- <br />item 4 if Restricted Delivery is desired. <br />X ? Agent <br />¦ Print your name and address on the reverse ? Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, B. R ived by (Printed Name) <br /> <br />A- C. Date of Delivery <br />or on the front if space permits. <br /> <br />1. Article Addressed to: <br /> <br />1 D. Is de <br />ive reg from item 1? <br />If YES. e ive below: ? Yes <br /> <br />? No <br />7C 0 k r <br />co jr <br />00 jpp <br /> <br /> <br />Pc ????c-?2C? ??? <br />3. Service ?? <br /> g 9 $ <br />? <br />i7 <br /> Certified <br />Express Mail <br />? Registered ? Return Receipt for Merchandise <br />l ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(lYansfer from service /abed 7005 3110 0000 2199 3641 <br /> <br />.J <br />P "-;r ?J <br />// --i / 6-V <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ;