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UNITED STATES POSTAL SERVICE <br />Gol fo <br />��G <br />G o PT 01- " <br />P mt` <br />()i ��ni <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 t h e front If space permits. <br />1. Article Addressed to: <br />Moffat County Commission <br />County Commissioner <br />221 W Victory Way <br />Craig, CO 81625 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO '"' -- <br />DEPARTMENT OF NATURAL RESOURCES 2 �, <br />DIVISION OF RECLAMATION, MINING & SAFET930 <br />1313 SHERMAN STREET, SUITE 215 _ of R''•r�a <br />DENVER, CO 80203 <br />C- 1981019 <br />Proposed Decision Letter <br />SL-5 <br />JHS /AH.H <br />�Ii= 1? 1'! lili�! �ItlFF!? lit l 3�31311 t1!llfitfilllllf! ?I ?� } }Iti!� <br />A. Sign <br />X ✓ ❑ Agent <br />❑ Addressee <br />B Recelyed byCPdnted Name) C. <br />ate of Delivery <br />� <br />/ - 2, <br />D. Is delivery address different from Item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered 13 Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />�4. Restricted Delivery? (Extra Fee) ❑ Yes <br />Delivery? (Extra Fee) ❑Yes <br />2. Article Number — <br />(Ransferfrom service label) 7009 2820 0003 57 6564 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />toe5W:62 -M -1540 <br />