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(Domestic Mail Only; No Insurance Coverage Provided) <br />' For delivery information visit our viebsite at wvm.usps.coms) <br />Certified Fee (f \—` <br />�0 <br />C3 Return Return Receipt Fee O <br />0 (Endorsement Required) ( 8 <br />C3 Restricted Delivery Fee <br />C3 (Endorsement Required) <br />(� Z S <br />� Total Postage & Ge— @ ' <br />ri <br />fti ern o Berhan Keffelew <br />C3 Environmental Protection Specialist <br />orr Box r o." . Di`ision of Reclamation, Mining and Safety <br />— iiy'si- i�,'ziP +o 1313 Sherman Street, Room 215 <br />Denver, Colorado 80203 <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 />Berhan Keffelew <br />Environmental Protection Specialist <br />Division of Reclamation, Mining and Safety <br />1313 Sherman Street, Room 215 <br />Denver, Colorado 80203 <br />A. Si ature <br />❑Agent <br />X 0 Addressee <br />B. Receivp" ( Printed Name) 1 �_Datepf very <br />D. Is d4iveryAddress different from item 11 Ares <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />O Certified Mail Q Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />E3 Insured Mail ❑ C.O.D. <br />4. Restricted DelNeryl Pft Fee) ❑ Yes <br />2. Article Number 7007 14 9 0 0000 5 419 0 618 <br />(rransfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />