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PS Fo <br />d SENDER: <br />•Complete items 1 and/or 2 for additional services. <br />e •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 />El? permit. <br />a, ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />r <br />•The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />UNITED STATES POSTAL SERVICE <br />0 <br />N: , 9 Ad' ,.. AAA.........A .... <br />d <br />William A Bear <br />Bowie Resources, LLC <br />o <br />m <br />w P.O. 483 <br />CC Paonia, Co 81428 <br />cc <br />z <br />n 5. Received By: ( 'nt Name) <br />iu <br />g • 6. Signet re: Ad e e orA <br />o • X 11 <br />o <br />December 19 <br />I I <br />• Print your name, address, and ZIP Code in this box • <br />State of Colorado G $'� <br />Department of Natural Resources 1q� <br />-,c <br />Division of Reclamation, Mining & Safety 0 " \ , <br />1313 Sherman Street, Room 215 �t``V fa <br />Denver, CO 80203 t<`�,t <br />C- <br />013 DO oun <br />SLBI AHo propo am t <br />Notice p <br />of Civil Penalty <br />7009 2820 0003 5700 6854 <br />ii:l iit!! <br />4b. Service Type <br />❑ Registered <br />tit Certified <br />❑ Express Mail ❑ Inured <br />❑ Return Receipt for Merchandise ❑SOD <br />7. Date of Deliv <br />(Only 8. Arlrelsee's ss if requested <br />and fee is paid) <br />,ii, ,,�i li i1t1ii iii i ii 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 />Domestic Return Receipt <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />ai <br />0 <br />d <br />N <br />a) <br />