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M -- 10I$00 ` b51 <br /> <br />QIA,k:'Ca vw:'t <br />I <br />UNITED STATES POSTAL SERVICE <br />1 <br />I <br />I <br />I <br />1 <br />1 <br />1 <br />I <br />First-Class Mail <br />Postage & Fees Paid <br />LISPS <br />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 />t)FNVER, CO 80203 `- - <br />. ?Q > <br />Spec. K* 1 <br />File # W1-1 -67 <br />Qt8?--9-l7-(D <br />1 <br />1 ILI1,11f)1„?i,i},I?i+ f?i,=IiE}Ils?si,I??I}ICI <br />I <br />1 <br />¦ 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 />Mr. Robert S Scott <br />Canyon Sand & Gravel <br />P.O. Box 4362 <br />Pagosa Springs, CO 81157 <br />A. Signature <br />? Agent <br />? Addressee <br />. <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter de-I ? No <br />P 2 3?? <br />3. Service Typ ., , <br />El certified al <br />13 Registered [3 Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7007 3020 0001 6340 1918 <br />(rmnsfer from service label) <br />2 <br />PS Form 3811, February 2004 Domestic Return Receipt t -M-t 540