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<br />¦ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired <br />,,A f <br />¦ Print your name and address <br />so that we can return the cdr? <br />¦ Attach this card to the b ck of a ma lip <br />or on the front if space e 'ts. <br />1. Article Addressed to: 010 <br />Loh KL9- GONS cS' <br />o g px 30?, <br />A. Sigh ure ? Agent <br />X Vb Addressee <br />- Lh <br />B. eceived b (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Item 1 T ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />??f ?7 fJ ? Certified Mall ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number ?008 1140 0003 443? 0192 <br />(Transfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />UNITED STATES POSTAL SERVICE <br />M; <br />S?p er:,Please prat your name, address, and ZIP44Vin this box <br />DEPARTMENT OF NATURAL RESOURCES <br />JD: V DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />1 r "LUi Spec. Qsz? <br />DIV1Si0li ?. " -s -File # rl /9?I5'GZa?3 <br />-Mining and Safety