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f. <br />V <br />r, <br />■ Complete items 1, 2, and 3. Also complete <br />A. Sig at <br />Item 4 if Restricted Delivery is desired. <br />X El Agent <br />■ Print your name and address on the reverse <br />El Addressee <br />so that we can return the card to you. <br />■ Attach this card to the back of the maiipiece, <br />M 5� G ft ed Name) C. of De <br />i <br />or on the front if space permits. <br />1. Article Addressed to: <br />D. Is delivery address different from-Item 1? Yes <br />" <br />If YES, enter delivery address below: : � No <br />1 <br />C17 <br />Sox 5rqq <br />- 3 3 sT/ <br />V 6H,+ ✓X*M 40 �ia�l <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. rmsf from rfrom service labeq 7006 3450 <br />(transf <br />( <br />0000 4880 8625 ' <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />I <br />UNITED STATES POSTAL SERVICE First -Class Mail i <br />Postage & Fees Paid i <br />LISPS C `' <br />Permit No. G -10 I <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />(VISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />Spec. <br />( 1�{ i:l }I�f iiFiliti { {fii{l�i1{liltil4 �iit } it }i�if� i{3 {:� {i�{�1�. . � • <br />i <br />