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7 <br />5 <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />•Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />•The Return Receipt wi s t w ho on the the article � ,s and the date <br />delivered. t. <br />3. Article Addressed to: <br />UNITED STATES POSTAL SERVICE <br />Bear Coal Company, Inc <br />1326 War Emblem Lane <br />Rock Springs, WY 82901 <br />5. Recei d B • (Print Name) <br />6. Sign <br />ssee <br />I ear/ <br />g � � or Agent) <br />X t' 1 / A <br />PS Form 3811, December 1994 <br />fJ <br />• Print your nam , <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & <br />1313 Sherman Street R9kopq 215 <br />Denver, CO EtV L <br />JAN 1 R ; J; <br />Ur'�e r <br />DIVISIOtt ofptf >g�:.,�la{l„a,.• <br />i l 1 111 1 1 1 � t1�T'' iF ir�sltlsii)a�)elils�)Ii�t ii � } t <br />7009 <br />• <br />" and ZIP C eIndox• <br />Safety C V Zf!z U <br />Cessation Order <br />CO- 2013 -001 <br />C- 1981 -033 <br />SLB /AHH <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />2820 0003 5700 6762 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date f Der ery <br />f 3 <br />8. Ad a 's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />Fus`e's Flair <br />Postage & 'e § Paid"' <br />LISPS <br />Permit No. G -10 <br />i <br />