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d <br />d, <br />m <br />a) <br />m <br />d <br />c <br />0 <br />d <br />0. <br />E <br />0 <br />0 <br />fn <br />rn <br />w <br />s <br />cc <br />cc z <br />1- <br />F <br />w <br />0 <br />SENDER: <br />• Complete items 1 andior 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write'Return Receipt Requested' on the mailpiece below the article number. <br />• The Retum Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />William A Bear <br />Bowie Resources, LLC <br />P.O. 483 <br />Paonia, Co 81428 <br />PS Form December 1994 <br />UNITED STATES POSTAL SERVICE <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 />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7009 2820 0003 5700 6397 <br />4b. Service Type <br />Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />I I <br />iii <br />Domestic Return Receipt <br />• Print your name, address, and ZIP Code in this box • <br />ai <br />a, <br />N <br />0. <br />a) <br />u <br />r <br />u' <br />cc <br />rn <br />0) <br />` 0 <br />w <br />7 <br />0 <br />m <br />r— <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />C- 1996 -083 <br />CV- 2012 <br />DIH /AHH <br />Notice of Proposed Amount <br />RECEIVED <br />JUN 0 3 2017 <br />r(eciamation, <br />Mining and Safety <br />