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SENDER: COMPLETE THIS SECTION <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 />David Anderson <br />Western Fuels - Colorado, LLC <br />P.O. Box 628 <br />Nucla, CO 81424 <br />2. Article Number <br />(Transfer from service Label) <br />PS Form 3811, February 2004 <br />`i. arc. - ?.Ak...ix� :3 5a Ikj..1" -.If 'i l7 ..w.: <br />UNITED STATES POSTAL SERVICE <br />• <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NAT RESOURCES <br />DIVISION OF RECLAIV ION , INING & SAFETY <br />1313 SHERMAN S .;.' ET, I'E 20 <br />DENVER, CO 802Igr O H O � g �� <br />G ste' <br />� o� e Notice of Violation <br />_ °' MLT /AHH <br />. � C- 2010 -089 <br />ll1ririlrrrfrlrlllr1rrfllrrrl ,Ir1i,lrlfrl„ilr2t:..eNt <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />Domestic Return Receipt <br />X \ , S ❑ Add <br />❑Addressee <br />B. Received by (Pri Name) C. Date of Delivery <br />11 1/18 ( )I( ki � � f ; ., _; f <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />D. Is delivery ad ss different frdm Item 1? ❑ Yes <br />If YES, ente delivery address below: In No <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6625 <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />ifetZlemidatip 44. <br />EkstagefFeegirald <br />LISPS <br />Permit No. G -10 <br />