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F FB 112013 <br />> <br />Sa te' <br />UNITED STATES POSTAL SERV <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 - - <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 />• Write'Retum Receipt Requested' on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />Mr Daniel Bear <br />Bear Coal Company <br />1326 War Emblem Lane <br />Rock Springs, WY 82901 - - <br />5. Received By: (Print Name) <br />g 6. Signature: (Addressee or Agent) <br />X • <br />PS Form 3811, December 1994 <br />III <br />• Print your nan'fe, address, and ZIP Code in this box • - <br />C1981 -033 <br />CO- 2013 -001 <br />Notice of Proposed Amount <br />of Civil Penalty <br />.SLt3/AH1 . <br />O <br />l u I'ti <br />I I i ilf n i i <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 />ai <br />E. <br />d <br />7009 2820 0003 5700 6823 <br />C <br />4b. Service Type d <br />XRegistered Certified cc <br />at <br />❑ Express Mail ❑ Insured . <br />w <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery --� 2 <br />8. Addressee's Address (Only if requested t <br />and fee is paid) co <br />H <br />Domestic Return Receipt <br />