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L <br />/ O h <br />?• <br />y <br />aY?i a> ` <br />U <br />Q a <br />o ? <br />•U <br />a? <br />ti r <br />a> <br />i 0 <br />1 a° ? <br />w <br />Ca Z <br />0,U?i-1 C1 <br /> <br /> <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 />rtf4- CoORODN 3RaGKF?, <br />G??N E, y?S?roNS +-SONS, ?t <br />3.5y9a laI- <br />P <br />w?v? , La ?yga <br />A. <br />? Agent <br />B. ReEeived by (Printed Name) C. Date of Delivery <br />D. Is delivery add different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />S. Service lype,; <br />? Certified Mail ? Express Mail <br />Q Regis;ered E3 Return Receipt for Merchandise <br />hstited Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? yes <br />2. Article Number 7006 3450 0000 4880 9738 <br />(transfer from service label) <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />• Sender: Please print your name, address, and ZI 0F_V" <br />?:,,. <br />ATE OF COLORADO <br />DEPARTMENT OF NATURAL. RESOURCES ? APR L 8 ??,?,, <br />DIVISION OF RECLAMATION MINING AND SAFET1Pivid10e Ot hecWmation, <br />1313 SHERMAN STREET, SUITE 215 MWV and Safety <br />DENVER, COLORADO 80203 <br />341300000 <br />Spec. Si <br />File # HW004-s3 S <br />Aww m <br />Co <br />r_ <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G-10 <br /> E <br />O s, <br />Co <br /> <br />= <br /> <br />Postage: <br />r. <br />$0.42 <br /> Certified Fee: $2.70 <br />C3 Return Receipt Fee: $2.20 '* <br />C3 (E <br />0 <br />(E Total Postage & Fees: <br />$5.32 <br />C3 <br />Lr) <br />= Total Postage & Fees 1 $ <br />M <br />Sent To <br />_ G?+S <br />C3 Dt? <br />Street Apt. NO.; <br />or PO Box No. <br />City, State, ZIP+4 <br />Gv WyfO <br />See Reverse for Instructions <br />PS Form :3800, August 2006 <br />Certified Mail Provides: Spec.) J <br />¦ A mailing receipt <br />¦ A unique identifier for your mailpiece File # r/ door a5 <br />¦ A record of delivery kept by the Postal Service for two years R?GON. L <br />Important Reminders. <br />¦ Certified Mail may ONLY be combined with First-Class Maile or Priority Mai <br />¦ Certified Mail is not available for any class of international mail. <br />¦ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. F <br />valuables, please consider Insured or Registered Mail. <br />¦ For an additional fee, a Return Receipt may be requested to provide proof <br />delivery. To obtain Return Receipt service, please complete and attach a Retui <br />Receipt (PS Form 3811) to the article and add applicable postage to cover tt <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver fi <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt <br />required. <br />¦ For an additional fee, delivery may be restricted to the addressee <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with d <br />endorsement "Restricted Delivery. <br />¦ If a postmark on the Certified Mail receipt is desired, please present the ar <br />cle at the post office for postmarking. If a postmark on the Certified Mi <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT: Save this receipt and present it when making an inquiry