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¦ 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 />Ir_ AV46071r- f ?Gtn/ O <br />335T 1 GP, Rt / <br />6i1WA %IT-O 4, LO <br />fl"71/ <br />? Agent <br />X r ) ( ? Addressee <br />!!" ved by (Printed Name) C. Date of Delivery <br />0. Is delivery address different from hem 1? ? Yes <br />If YES, enter delivery address belo ? o <br />3. Service Type <br />? Certified Mall ? 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 7006 3450 0000 4880 8557 <br />(Transfer from service label, <br />PS Form 3811, February 2004 Domestic Return Receipt 102595402•M-1547 <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid <br />l7 USPS <br />Permit No. G-10 <br />i <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />STA I E OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY 1313 SHERMAN STREET, SUITE 215 ? <br />DENVER, COLORADO 80203 v fSEP 0 L 2U <br />Divit WI of <br />341300000 Miming Ml^ing n-d Spec. Sari <br />File #_`'l D.?C3 <br />p,TS? -Jf,?iG t:? <br /> postal <br /> CERTIFIED MAIL. R ECEIPT <br />Iti <br />Ln (Dom"ft U0 • <br /> <br />Co $0.44 <br /> Postage: $2.80 <br />E3 Certified Fee: $2.30 <br />C3 . Return Receipt Fee: <br />E3 <br />ED i, <br />,;5, stage & Fees: <br /> <br />(r,do1 Total Po <br /> <br />$5.54 <br />o <br />Ln <br />= <br /> <br />Total Po s;.,,,o '. c.-. _ • I •Ca <br />]]II <br />J' - - - ; ' <br />m <br /> r;.-ant l, <br /> 111111111111111 iii 1111111 111 1 111111 11 111111 Ilirllrr l l) 11 111111 <br /> <br />Spec. Q? , <br />Certified Mail Provides: File # M ? °I4"yo y3 <br />¦ A mailing receipt <br />¦ A unique identifier for your mailpiece <br />¦ A record of delivery kept by the Postal Service for two yoars ?i <br />Important Reminders: <br />¦ Certified Mail may ONLY be combined with First-Class Mail, of Priority Mar <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 />required. <br />¦ For an additional fee, delivery may b <br />addressee's authorized agent. Advise the <br />endorsement "Restricted-Delivery". <br />¦ If a postmark on the Certified Mail receip <br />Cie at the post office for postmarking. <br />IMPORTANT: Save this receipt and present it A ell-Iffaking at <br />PS Form 3800, August 2006 (Reverse) PSN 7530.0' -WO•SITYt7 <br />DRMS-1313 Sherman. Rm 215, benver, CO 80203