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RECEIVED <br />JUL30 201? <br />Division or l'eciamation, <br />Mining and Safety <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 />1. Article Addressed to: <br />Dennis A. and Laurie L. Hallenbeck <br />36190 County Road 27 <br />Hayden, CO 81639 <br />2. Article Number <br />(Transfer from sere, <br />PS Form 3811, February 2004 <br />UNITED STATES POSTAL SERVICE <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 />C199 <br />S 4 0 action <br />Noti icat\on Letter <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Si. ature <br />X 4 14dIM <br />is Agent <br />0 Addressee <br />C. Date of Delivery <br />D. Is delivery address diffe nt from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />C3 Certified Mail <br />0 Registered <br />0 Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6496 <br />Domestic Return Receipt <br />0 Express Mail <br />0 Return Receipt for Merchandise <br />0 C.O.D. <br />0 Yes <br />i <br />102595 -02 -M -15 <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />