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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. ent <br />r Addressee <br />C. Date of 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 />1. Article Addressed to: <br />Oxbow Mining, LLC <br />P.O. Box 535 <br />3737 Highway 133 <br />Somerset, CO 81434 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />7009 2820 0003 5700 6649 <br />Domestic Return Receipt <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mall <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mall <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />UNITED STATES POSTAL SERVICE <br />102595 -02 -M -1540 <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 />RECEIVED <br />NOV U . 20i2 <br />Division o reclamation, <br />Mining and Safety <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />C1g 81 -0 <br />C V- 2012 -008 <br />Violatio <br />i °tice of <br />