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UNITED STATES POSTAL SERVICE <br />b <br />) <br /> <br />First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />Spec. ?f-,s <br />File # Laj! 1 a \? <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 AND SAFEr <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />if„f?ff,t???{tlfl,?,?,ifr,ff?lr?i?Ilf??ltt3fr?fftrrf,fitrftfll <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 />7Signature <br />Printed <br />Name) <br />VAIA I <br />0 Agent <br />C. Date of Delivery <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />673( s+4wy, f3 <br />1'YL k_1 t!.?et cam. gI ?C?/ <br />o. aernce type <br />Mee ,?` C o I `(I ? rtrfied Mail 13 Expms Mail <br />Registered ? Return Receipt for Merchandise <br />E-3 Insured Mail ? C.O.D. <br />t. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number _ <br />(Transfer from servic 7003 1680 0000 6427 9810 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540