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1. Article Addressed to: <br />2. Article Number <br />(transfer from service label) <br />UNITED STATES POSTAL SERVICE <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 />David Anderson <br />Western Fuels - Colorado, LLC <br />12050 N. Pecos St., Suite 100 <br />Westminster, CO 80234 <br />PS Form 3811, February 2004 <br />X <br />Signat re <br />Domestic Return Receipt <br />RECEIVED <br />DEC 13 2012 <br />Division of E <br />Mining & Sa <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <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 <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 <br />C- 2010 -089 <br />CV- 2012 -006 <br />Notice of Proposed Amount of Civil Penalty <br />DIH /MLT /AHH <br />llrrilll��rr,ir .,... <br />COMPLETE THIS SECTION ON DELIVERY <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6670 <br />Agent <br />❑ Addressee <br />C. Date of Delivery <br />z - << r z <br />:ffAre nt from item 1? ❑ Yes <br />if YES, enter deli' ry; ddress below: d'o <br />3. aSerYlce Type <br />tisk:Wail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />