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G <br />0 ' <br />ay <br />��S 4dc1 <br />UNITTm <br />'PST <br />"`Y'; <br />�• "'�.,, x�.�; '"'"sass.. -*t" <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFET 0 <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 iQ 01b *% - c <br />C1980 -007 <br />SL-5 <br />Inspection NotificattiiQn A ter <br />tl�lrrli�ll��llii��rs , ,r ? r r � rr- <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 />Article Addressed to: <br />USDA Forest Service <br />Paonia Ranger District <br />PO Box 1030 <br />Paonia, CO 81428 <br />Attn- Ryan Taylor <br />X 9fgna � <br />X 1V� <br />B. R eiv by (Printe Na) C. <br />V- 6�rJ <br />D. Is delivery address different from item 1? <br />If YES, enter delivery address below: <br />Delivery <br />❑ Yes <br />J. service Type <br />❑ Certified Mail ❑Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restri Delivery? (Extra Fee) 13 Yes <br />2 Article Number <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 3 018 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />