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2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />UNITED STATE I <br />SROSAL,SERViOt' 4'A :f7.. <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 <br />SENDER: COMPLETE THIS SECTION <br />C011o. THIS SECT ION ON DELIVERY <br />0 Agent <br />0 Addressee <br />• Complete items 1, 2, and 3. Also complete A. Sigflature' <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. 1.\‘ <br />D. it Xivery a <br />1. Article Addressed to: _ If Mkt Enter <br />Ivan W. -Godwyn and Vada F Godwyn t' <br />P.O Box 1418 <br />so <br />Rung Springs, OR 72382 <br />Domestic Return Receipt <br />iervice Type <br />Certified Mail <br />0 Registered <br />0 Insured Mall <br />ed Name) <br />4. Restricted Delivery? (Extra Fee) <br />t'lait4 <br />C-1981-038 <br />SL-4 <br />Inspection Notification <br />bfb/ahh <br />C. Date of Delivery <br />different from item 1? 0 Yes <br />ery address below: 0 No <br />7008 3230 0002 7252 9354 <br />0 Express Mail <br />0 Retum Receipt for Merchandise <br />0 C.O.D. <br />0 Yes <br />102595-02-M-1540 <br />First-Class Mail <br />..F*.tagekFkieflz,eld <br />Permit No. G-10 <br />