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UNITED STATES POSTAL SERVICE <br />SENDER: COMPLETE THIS SECTION <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 />Delta County Commissioners <br />501 Palmer, Suite 227 <br />Delta 81416 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />• Sender Please print your name, address, and ZiR+GEtiD <br />APR 2 5 2013 <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOUR(nsion of Reclamation, <br />DIVISION OF RECLAMATION, MINING & S D& Safety , <br />1313 SHERMAN STREET, <br />DENVER, CO 80203 <br />8 <br />G 1 4g1,�3 cis \on �ettec <br />SL d pe <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />B. Received by Printed Name) <br />D. Is delivery • • dress different from item 1? ❑ <br />If YES, enter delivery address below: <br />3. ce Type <br />uCertlfled Mail <br />❑ Registered <br />❑ Insured Mail <br />Domestic Return Receipt <br />gent , <br />C� el.-,/t-/ ❑ Addressee <br />4. Restricted Delivery? (Extra Fee) <br />7049 2820 , 0003: 5701.. - .2,411 <br />C. Date of Delivery <br />❑ Express Mail <br />E l Return Receipt for Merchandise <br />❑ C.O.D. <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />❑ Yes <br />102595 -02 -M -1540 <br />