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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this�c • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFEO <br />1313 SHERMAN STREET, SUITE 215 {gar" <br />DENVER, CO 80203 -2273 � <br />341300000 Spec. r< <br />File4IW/ 614-- <br />e <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-4Sard to the back of the mailpiece, <br />or on the front if space permits. <br />Artif o Addressed to: <br />L /75'W" <br />f"uetS 100Q Iwc, . <br />r3ox 455 <br />Flo e'"-zea ) CO <br />glZZL <br />�► i, 3�ii13jii�{ �ii�iii�li�i :li�li�'ii��iiiii;�i�it =iii :i�ijiiji� <br />A. Signature i" ' _ <br />❑ <br />X r /-. � Agent <br />t� 7a 0i ' ❑ Addressee <br />B. Aeceived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item I? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra 9-1 1 Yes <br />2. Article Number 7010 1p60 0001 0936 2 _v <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />