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JAo <br />UNITED STATES P SCE <br />First -Class Mail i <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />i�ai,�0 s . <br />• Sender: Plea Ur name, address, and ZIP +4 in this box • <br />U,• , mn�n9 Aga <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 <br />C- 1981 -014 <br />CV2013 -002 Fixed Penalty <br />Notice and Order to Pay <br />�1! f 7 i !i t lr �I ji " r� }Ilgll:�F'7 7r.tt�ltrrilis, <br />1 }� 1t11��i� 1�{ t}{ lllil�') ����it1j�1 'ciiiitl�Ittt�t }tr {llt��i; � <br />} E <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 />Energy Fuels Coal, Inc <br />P.O, Box 459 <br />,,,Florence, CO 81226 <br />A. Signatgre <br />X L/ ❑ Agent <br />❑ Addressee <br />B. Vceived by (Printed Name) . Date of Delivery <br />/. --�V 11igrTi'esQ -8' -13 <br />D. Is delivery address different from item 1? ❑ Yes <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 3070 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />