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RECEIVED <br />ill 1 2 2010 <br />Tv 'Division of Reclamation, <br />Mining and Safety <br />4 <br />¦ Complete items 1, 2, and 3. Also complete A. Sig ature <br />item 4 if Restricted Delivery is desired. ? Agent <br />¦ Print your name and address on the reverse X ?lL V ? Addressee <br />so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery <br />. <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. a4 mak_ <br />1. Article Addressed to: D. Is delivery address differeno &?I L?7 Yfs <br />If YES, enter delivery add;; b Z% <br />AMK t v? Ce Rs9 ?f,L iP?-T d <br />ON <br />s ?, t <br />as 5? ? 5TR <br />?i 3. Service Type U <br />?j/F LT-OjJq- p ?aD ? Certified mail ? Express Ma <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 8106 <br />(Transfer from service iabeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />l <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 I <br />• Sender: Please print your name, address, and ZIP+4 in this box <br />STATE Oi- COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 q <br />SDec. <br />'File#-H <br />