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• 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 />1. Ai <br />PS Form 3811, February 2004 <br />UNITED STATES POSTAL SERVICE <br />In I <br />SENDER: COMPLETE THIS SECTION <br />Jennifer Maiolo <br />Bureau of Land Management <br />Little Snake Field Office <br />455 Emerson St. <br />Craig, CO 81625 <br />• Sender: Please print your name, address, and ZIP +4 in thi <br />V � <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING G & SAFETY Q <br />1313 SHERMAN STREET, SUITE 21 <br />DENVER, CO 80203 <br />Domestic Return Receipt <br />CI 982 -057 Notification <br />B on d Release Inspection <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by ( Printed Name) <br />L. ,A, <br />A. Signat re <br />X ❑ Agent <br />0 Addressee <br />C. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />CI Certified Mail <br />❑ Registered <br />o Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number — .,. � <br />(Transfer from service label) .. 7 01'1„l '1;"n 0001 0 9 3 6 2882 <br />Express Mail <br />❑ Retum Receipt for Merchandise <br />0 C.O.D. <br />0 Yes <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />102595 -02- M-1540 <br />