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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 box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES RECEIVED <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 MAY 0 8 2013 <br />DENVER, CO 80203 <br />o {�eeSa><e� <br />nn gt <br />00 1" <br />• Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse X <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, B. <br />or on the front if space permits. <br />C1980 -007 ` 'n of Redamatio <br />S L -5 ..., 1:ng & Safety <br />Inspection Notification Letter <br />J R5 /A H H <br />U <br />0 Agent <br />11oeived by (Printed Name) I C. Date of Delivery <br />oihna M-( *-m0. macs, <br />elivery address different from item 1? ❑ Yes <br />ES, enter delivery address below: ❑ No <br />Executive Director <br />Western Slope Environmental Resource Council <br />P O. Box 1612 <br />Paonia, CO 81428 <br />- ce Type <br />0 Certified Mail 0 Express Mail <br />0 Registered 0 Retum Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2 Article Number <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 3001 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />