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<br />n Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />1¦ Print your name and address on the reverse <br />so that we can return the card to you. <br />1111 Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />MR• 5co7T ?f?+-?O <br />o, tbo>< S? y9 <br />a3/ GP. 3&1 <br />yi pP,MS 6 ?E? ? , Go S/o7// <br />A. Stur <br />X ? Agent <br />.?7 Addressee <br />e edb y (Printed Name) C. Date of De11 <br />D. Is delivery address different from item 1? ?O'Yes <br />If YES, enter delivery address below: ? No <br />ANA v,-- <br /> <br />3. <br />? it express Mail <br />? Regi y d Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />V I/ P _ 4. Restricted Delivery? (Extra Fee) ? Yes <br />:!. Article Number 7006 3450 0000 4880 8571 <br />(Transfer from serv/ce is <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-1540 <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid <br />USPS <br />1 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 & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 Spec. BSI} <br />SIA'NItL G?AT4A I?lal? <br />File U.S. Postal ServiceT. <br />CERTIFIED MAIL-r. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />information 171- <br />CD <br />? <br />C3 <br />CID - - ` C <br />CID $1.05 <br />Q r <br />Postage, $2`80 <br />C3 Certified Fee: $2.30 <br />O (Endo Return Receipt Fee: ;n <br />° Rest. X6:15, <br />° (E = Total Postage & Fees: <br />N <br />-I" Total Postage & Fees <br />M <br />Sent To <br />° -7k Sin" -------------------- <br />--° - ---- <br />° reef Ap-t. No. • <br />Or <br />City, State, ZIP+4 <br />PS Form ------------- ---- ---- - ---- - ----- <br />v <br />:00, August 2006 <br />See Reverse for Instructions <br /> <br />? - - - <br />&I <br />Certified Mail Provides: Spec. <br />¦ A mailing receipt File #H)"q7 <br />¦ A unique identifier for your mailpiece 4LAMr*,t W */ytpW - <br />¦ A record of delivery kept by the Postal Service for two years ,Up <br />Important Reminders: <br />¦ Certified Mail may ONLY be combined with First-Class Mail® 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 Retw <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 ft <br />a duplicate return receipt, a USPSe 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 tI <br />endorsement "Restricted Delivery"-- <br />¦ If a postmark on the Certified Mail receipt is desired, please present the an <br />cle at the post office for postmarking. If a postmark on the Certified Mt <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. <br />PS Form 3800,Au ust 2006 Reverse) SN 9047 ,.,? ennne