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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 />1 ¦ Attach this card to the back of the mailpiece, <br />nr nn the front if space permits. <br />NICK H. GRAY <br />584 65.30 RD. <br />MONTROSE, CO 81401 <br />2. Article Number <br />PS Form 3811, February 2004 uomesuc nULUI I' "-F- <br /> U.S. <br /> CERTIFIED ¦ ¦ <br />,.rt (Domestic <br />Co <br />F F <br />? <br />ru <br />Ln <br />ru <br />Postage: 1 <br />$0.44' <br />r%- Certified Fee: $2.80 <br />ru <br />C3 Return Receipt Fee: $2.30 <br />C3 <br />° (B <br />P Total Postage & Fees: <br />$5.54 <br />C3 <br />M (E1 <br /> <br />I <br />ru Total Postage & Fees $ <br />rn r---? <br />co sNICK H. GRAY <br />o er,;nPt" 584 65.30 RD. <br />0 Box No. <br />sie?e-Z?P?. MONTROSE, CO 81401 <br />'o <br />Certified Mail Provides: Specs. >Ivu a <br />¦ A mailing receipt File <br />¦ A unique identifier for your mailpiece <br />¦ A record of delivery kept by the Postal Service for two years <br />Important Reminders. <br />¦ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail <br />¦ Certified Mail is not available for any class of intemational mail. <br />¦ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fc <br />valuables, please consider Insured or Registered Mail. ' <br />¦ For an additional fee, a Retum Recer it may be requested to provide proof o <br />delivery. To obtain Return Receipt service, please complete and attach a Retun <br />Receipt (PS Form 3811 to the article and add applicable postage to cover th, <br />fee. Endorse mailpiece Return Receipt Requested'. To receive a fee waiver fo <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt i <br />required. <br />¦ For an additional fee, delivery may be restricted to the addressee c <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with th <br />endorsement "Restricted Delivery. <br />¦ If a postmark on the Certified Mail receipt is desired, please present the art! <br />cle at the post office for postmarking. If a postmark on the Certified Ma <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 Forrn 3800, August 2006 (Reverse) PSN 7530-02-000-9047 <br />DRMS-1313 Sherman, Rm 215, Denver, CO 80203 <br />UNITED STATES POSTAL SERVICE <br /> <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, CO 80203-2273 <br />341300000 Spec. Jqw <br />File #_2tcZ- ate <br />Ilitlilllttrlllllliitlitliilll lt, i,l i I I I I I III I til 11111 11111 If II <br />First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit•No. G-10