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�`JSP <br />ay a'0 1 <br />Ok $16 <br />UNITS jT T SyPt}5� �1 E}� ilaf `' (,.k,..) el I r <br />•. - f1rST-*a il F <br />feaes yid <br />= -` T_ -,OffR - <br />�' M <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCHECE�, ",D <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 MAY 0 8,113 <br />DENVER, CO 80203 <br />C1980-007 <br />SL-5 Mu�R9 <br />Inspection Notification Letter <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 />1. Article Addressed to: <br />Oxbow Carbon <br />c/o Oxbow - ining, LLC <br />PO Box,535. -' <br />Somerset,'i,DO 81,434 <br />❑ Agent <br />❑ Addre <br />C. Date of Del <br />/lam /� � <br />D. Is delivery address different from item 1 T ❑— 'es <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 3025 <br />(Transfer from service iabe., <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />