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PA.- tqa? - a$i - --- --- -- <br />d, ?4F ?. <br />`n UNITED S'TATES'+ ? v r` ^f r I S J1AaiT 4 <br />t?stagb FeWPaid <br />USR <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />STATE OF COLORADO RECEIVE D <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 DEC 1 1 200 <br />DENVER, COLORADO 80203 <br />Division or Recia ation, <br />341300000 Mining and Sal ty <br />Spec. 1-< <br />File <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 Addressed to: <br />Mr. Sam M. Keeling Jr <br />L Charles Bud Keeling <br />s. Service Type <br />P. O. Box 361 ? Certified Mail ? Express Mail <br />Veta, CO 81055 ? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service labeq 7008 114 0003 4437 0574 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />A. Sign ; <br />? Agent <br />? Addressee <br />B. Received by (Pri d?'ame) C. Date of Delivery <br />' <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />c