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1??0 <br />First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />1111.111171111111.11.1111111111111111111.111111.11111111 1 <br />I } 1111 3171 <br />1. <br />ti <br />l <br />UNITED STATES POSTAL SERVICE <br />• Sender: Please print your name, address, and ZIPii 094108 <br />DEC I) 2008 <br />STATE OF COLORADO <br />1(r/ DEPARTMENT OF NATURAL RESOURCES Division or Declamation <br />J DIVISION OF RECLAMATION, MINING & SAFETY Mining and Safety <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 Spec: c <br />File # - X999- aay <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 maiipiece, <br />or on the front if space permits. <br />A. Signatu <br />xi ` o ? Agent <br />CZe-P6 ? Addressee <br />B. Received !;'(Panted C. D t of*D gliver <br />yl. <br />1. Article Addressed to: D. Is delivery address d event from item ? ? Yes <br />If YES, enter delivery address below: ? No ; <br />MR MATHEW L VALDEZ <br />COSTILLA COUNTY <br />352 MAIN ST. 3. Service Type <br />Sir 11 a81 1 C,7 ? Cerfrfied Mail_ _ ? Express Mail <br />.13 egisteJ` ? Return Receipt for Merchandise <br />t jnsured. Malik 13 C.O.D. <br />4 Restricted Deli vepry? (Extra Fee) ? Yes <br />Ji <br />2. AiticleNumber ,. V, . rl r4=1 <br />(via fer fipm service laDeQ - , _? 130 8 114 ;,, 0 0 0 4 43? 3834 <br />PS Form 3811, February 2004 Domestic Return Rece115`- , , `"' 102595-02-M <br />