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RECE <br />JUL 302012 <br />DIVISOR of meclarnatton, <br />Mining and Safety <br />1. Article Addressed to: <br />2. Article Number <br />(Transfer from service label) <br />UNITED STATES POSTAL SERVICE <br />PS Form 3811, February•2004 <br />First-Class ge <br />Posta & Fees Paid <br />USPS <br />Permit No. G -10 <br />Please print your name, address, and ZIP +4 in this box <br />• Sender <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL AT ON MINING & SAFETY <br />DIVISION OF RECLAMATION <br />SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 <br />C199 <br />SL -4 <br />Inspection N otification Letter <br />SLB/AHH <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <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 />Colorado State Board of Land Commissioners <br />1127 Sherman St #300 <br />Denver, CO 80203 <br />Domestic Return Receipt <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />Received b (Printed N I Date of livery <br />J . c�► 6 C . r.e 7 6 <br />D. Is delivery address different from item 1? ❑ Yes <br />If v enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mali <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6533 <br />❑ Yes <br />• <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />102595 -02 -M -1540 <br />