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UNITEDp§ A ti�oS 1t6V''PN CCI 13-1 5 <br />irsh <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado RECENT <br />Department of Natural Resources JUN 2 4 2(lt <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 plyl�pli OF REC 0. <br />Denver, CO 80203 M <br />C- 1996 -083 <br />CV- 2013 -004 - -- -. <br />NOTICE'OF PROPOSED AMOUNT <br />! ( ( +t +j } OF C L P ,�NA_ LTY-'- .. • - -- <br />111- !,III0II- iifill!1!Ii � f, t*!I : ;iplOi "I <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 />William A Bear <br />Bowie Resources, LLC <br />P.O. 483 <br />Paonia, Co 81428 <br />A. Signatu <br />-'Agent <br />X ❑ Addressee <br />B. R ived by (P rip t Name) C Date of Delivery <br />D. Is delivery address different from item 1? ❑�� "Yes <br />If YES, enter delivery address below: &V-O <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 - <br />(Transfer 2820 0003 5701 2480 <br />(Transfer from service labs <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />