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17-;Q ti- Oct <br /> <br />M_ 148 2 -- DRO <br />VIA <br />ID <br />_rb ara,q???-d Cdr , = nc, <br />UNITED STATES POSTAL SERVICE <br />First-Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G-10 <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 SAFEr <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />Spec.- - &r 1 <br />=ile #_M- l Q 0x90 <br />117XIIIIIIIIIJI 11 ISIXII lidid ili IIIIHf 11?31flf 11 Jfill/ <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 SCOTT A BUTTERS <br />CAMP BIRD COLORADO, INC. <br />P.O. BOX 806 <br />SALT LAKE CITY, UT 84110 <br />A. Signature <br />? ,A\ Agent <br />XF6 - /\ Addressee <br />B. Received b ( Printed Name) C. Date of Delivery <br />Ste, rr I I TE S <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />? certified Mail ? Express mail <br />? 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 label)- 7008 1140 0003 4437 4541 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540