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UNITEZ --P I�Ak!!JW f , ; �� ham- a eati� I� <br />,^ =.�_`t �,� 3�4, �.�5 i j^i�'I,M1 :,� �.�i CN� r � .,..F;�.uYr �snit'WA AO"n,•.x"'x <br />• Sender: Please print your name, address, and ZIP +4 in ttt�iic <br />State of Colorado JUN U 3 2013 <br />Department of Natural Resources ,� RECUaMA <br />Division of Reclamation, Mining & Safety nyp SAFETY <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 1 3_13 <br />X20p4 15 <br />SLA1 d Decision Leer -• <br />prpose <br />R1 y <br />• Complete items 1, 2, and 3. Also complete Sig ature / <br />Item 4 If Restricted Delivery is desired. - <br />Agent <br />• Print your name and address on the reverse <br />c�-�) <br />❑ Addressee <br />so that we can return the card to you. <br />• Attach this card to the back of the maVpiece, <br />B. Re ved by (PH' 90d Name) C. <br />to of elivery <br />or on the front if space permits. <br />,1�� <br />t.` i/�,i <br />�h <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? <br />Yes <br />--- --- v <br />-- " " -S, enter �F�s� <br />0 81600Garfield <br />❑ N o <br />County Commissioners <br />rdeliv <br />County Commis9brier <br />104th Street, Suite 200 <br />G 3 <br />Glenwood Springs, CO 81601 -3355 <br />Type <br />:2d <br />M ress I <br />L-i nrigistered ROSY pt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7009 2820 <br />(Transfer from service label) <br />2003 5701 2442 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />